End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
;
: 51-57, 2018.
Artigo
em Coreano
| WPRIM
| ID: wpr-715337
ABSTRACT
PURPOSE:
End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order.METHODS:
We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed.RESULTS:
Of total 375 patients, 170 patients (45.3%) died with malignancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (median 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P < 0.05).CONCLUSION:
EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Assistência Terminal
/
Ventiladores Mecânicos
/
Sistema Nervoso Central
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Causas de Morte
/
Ordens quanto à Conduta (Ética Médica)
/
Cuidados Críticos
/
Tomada de Decisões
/
Planejamento Antecipado de Cuidados
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Hospice and Palliative Care
Ano de publicação:
2018
Tipo de documento:
Artigo
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