Base de dados : MEDLINE
Pesquisa : E02.365.647.740 [Categoria DeCS]
Referências encontradas : 3494 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 350 ir para página                         

  1 / 3494 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27771786
[Au] Autor:Osinski A; Vreugdenhil G; de Koning J; van der Hoeven JG
[Ad] Endereço:Department of Internal Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands. aart_osinski@hotmail.com.
[Ti] Título:Do-not-resuscitate orders in cancer patients: a review of literature.
[So] Source:Support Care Cancer;25(2):677-685, 2017 02.
[Is] ISSN:1433-7339
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Discussing do-not-resuscitate (DNR) orders is part of daily hospital practice in oncology departments. Several medical factors and patient characteristics are associated with issuing DNR orders in cancer patients. DNR orders are often placed late in the disease process. This may be a cause for disagreements between doctors and between doctors and patients and may cause for unnecessary treatments and admissions. In addition, DNR orders on itself may influence the rest of the medical treatment for patients. We present recommendations for discussing DNR orders and medical futility in practice through shared decision-making. Prospective studies are needed to investigate in which a patient's cardiopulmonary resuscitation (CPR) is futile and whether or not DNR orders influence the medical care of patients.
[Mh] Termos MeSH primário: Reanimação Cardiopulmonar/ética
Tomada de Decisões/ética
Neoplasias/psicologia
Ordens quanto à Conduta (Ética Médica)/ética
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Neoplasias/terapia
Estudos Prospectivos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180310
[Lr] Data última revisão:
180310
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1007/s00520-016-3459-9


  2 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29360304
[Au] Autor:Seiler LW; Thomson Reuters Accelus.
[Ti] Título:Long-Term Care: End-of-Life Issues.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-96, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência de Longa Duração/organização & administração
Assistência Terminal/organização & administração
[Mh] Termos MeSH secundário: Diretivas Antecipadas
Afroamericanos
Moradias Assistidas
Canadá
Capitação
Ensaios de Uso Compassivo
Comportamento do Consumidor
Aconselhamento
Demência/terapia
Depressão
Europa (Continente)
Grupo com Ancestrais do Continente Europeu
Custos de Cuidados de Saúde
Hispano-Americanos
Cuidados Paliativos na Terminalidade da Vida
Seres Humanos
Reembolso de Seguro de Saúde
Maconha Medicinal
Medicare/economia
Musicoterapia
Enfermagem/recursos humanos
Casas de Saúde
Cuidados Paliativos
Planejamento de Assistência ao Paciente
Direitos do Paciente
Prisioneiros
Qualidade da Assistência à Saúde
Ordens quanto à Conduta (Ética Médica)
Cônjuges
Governo Estadual
Suicídio Assistido
Telemedicina
Doente Terminal
Obtenção de Tecidos e Órgãos
Estados Unidos
Veteranos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Medical Marijuana)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  3 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28467581
[Au] Autor:Yüce Y; Acar HA; Erkal KH; Tuncay E
[Ad] Endereço:Department of Anaesthesiology and Reanimation, Kartal Dr. Lütfi Kirdar Training and Research Hospital, Istanbul-Turkey. dryyuce@gmail.com.
[Ti] Título:Can we make an early 'do not resuscitate' decision in severe burn patients?
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):139-143, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The present study was conducted to examine topic of issuing early do-not-resuscitate (DNR) order at first diagnosis of patients with severe burn injuries in light of current law in Turkey and the medical literature. DNR requires withholding cardiopulmonary resuscitation in event of respiratory or cardiac arrest and allowing natural death to occur. It is frequently enacted for terminal cancer patients and elderly patients with irreversible neurological disorders. METHODS: Between January 2009 and December 2014, 29 patients (3.44%) with very severe burns were admitted to burn unit. Average total burn surface area (TBSA) was 94.24% (range: 85-100%), and in 10 patients, TBSA was 100%. Additional inhalation burns were present in 26 of the patients (89.65%). All of the patients died, despite every medical intervention. Mean survival was 4.75 days (range: 1-24 days). Total of 17 patients died within 72 hours. Lethal dose 50 (% TBSA at which certain group has 50% chance of survival) rate of our burn center is 62%. Baux indices were used for prognostic evaluation of the patients; mean total Baux score of the patients was 154.13 (range: 117-183). RESULTS: It is well known that numerous problems may be encountered during triage of severely burned patients in Turkey. These patients are referred to burn centers and are frequently transferred via air ambulance between cities, and even countries. They are intubated and mechanical ventilation is initiated at burn center. Many interventions are performed to treat these patients, such as escharotomy, fasciotomy, tangential or fascial excision, central venous catheterization and tracheostomy, or hemodialysis. Yet despite such interventions, these patients die, typically within 48 to 96 hours. Integrity of the body is often lost as result of aggressive intervention with no real benefit, and there are also economic costs to hospital related to use of materials, bed occupancy, and distribution of workforce. For these reasons, as well as patient comfort, early do-not-resuscitate or do-not-intubate protocol for these patients is suggested. Resources could then be directed to other patients with high expectancy of life and patients with burns that are beyond treatment can experience more comfortable end of life. CONCLUSION: At present in Turkey, it is not possible to give DNR order for patient with severe burns that are incompatible with survival due to legal interdiction. This subject should be discussed at high-level meetings with participation of doctors, legal experts, economists, and theologians.
[Mh] Termos MeSH primário: Queimaduras/terapia
Ordens quanto à Conduta (Ética Médica)
[Mh] Termos MeSH secundário: Unidades de Queimados
Queimaduras/epidemiologia
Queimaduras/mortalidade
Queimaduras por Inalação
Hospitalização
Seres Humanos
Estudos Retrospectivos
Índice de Gravidade de Doença
Turquia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.71508


  4 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo SciELO Brasil
[PMID]:28832795
[Au] Autor:Miana LA; Moraes MM; Moraes BM; Ponte PG; Venturelli E; Mallosto RU; Moreira-Almeida A
[Ad] Endereço:Faculdade de Medicina da Universidade Federal de Juiz de Fora (FAMED-UFJF), Juiz de Fora, MG, Brazil.
[Ti] Título:Cardiopulmonary Resuscitation in an Average Brazilian Intensive Care Unit: Should We Perform Less or Better?
[So] Source:Braz J Cardiovasc Surg;32(3):177-183, 2017 May-Jun.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Introduction:: Few data can be found about cardiac arrest in the intensive care unit outside reference centers in third world countries. Objective:: To study epidemiology and prognostic factors associated with cardiac arrest in the intensive care unit (ICU) in an average Brazilian center. Methods:: Between June 2011 and July 2014, 302 cases of cardiac arrest in the intensive care unit were prospectively evaluated in 273 patients (age: 68.9 ± 15 years) admitted in three mixed units. Data regarding cardiac arrest and cardiopulmonary resuscitation were collected in an "Utstein style" form and epidemiologic data was prospectively obtained. Factors associated with do not resuscitate orders, return of spontaneous circulation and survival were studied using binary logistic regression. Statistical package software used was SPSS 19.0 (IBM Inc., USA). Results:: Among 302 cardiac arrests, 230 (76.3%) had their initial rhythm recorded and 141 (61.3%) was in asystole, 62 (27%) in pulseless electric activity (PEA) and 27 had a shockable rhythm (11.7%). In 109 (36.1%) cases, cardiac arrest had a suspected reversible cause. Most frequent suspected cardiac arrest causes were hypotension (n=98; 32.5%), multiple (19.2%) and hypoxemia (17.5%). Sixty (19.9%) cardiac arrests had do not resuscitate orders. Prior left ventricle dysfunction was the only predictor of do not resuscitate order (OR: 3.1 [CI=1.03-9.4]; P=0.04). Among patients that received cardiopulmonary resuscitation, 59 (24.4%) achieved return of spontaneous circulation and 12 survived to discharge (5.6%). Initial shockable rhythm was the only return of spontaneous circulation predictor (OR: 24.9 (2.4-257); P=0.007) and survival (OR: 4.6 (1.4-15); P=0.01). Conclusion:: Cardiopulmonary resuscitation rate was high considering ICU patients, so was mortality. Prior left ventricular dysfunction was a predictor of do not resuscitate order. Initial shockable rhythm was a predictor of return of spontaneous circulation and survival.
[Mh] Termos MeSH primário: Reanimação Cardiopulmonar/mortalidade
Reanimação Cardiopulmonar/normas
Parada Cardíaca/mortalidade
Parada Cardíaca/terapia
Unidades de Terapia Intensiva/estatística & dados numéricos
[Mh] Termos MeSH secundário: Agonistas Adrenérgicos/farmacologia
Adulto
Idoso
Idoso de 80 Anos ou mais
Brasil
Epinefrina/administração & dosagem
Feminino
Parada Cardíaca/etiologia
Mortalidade Hospitalar
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Prognóstico
Estudos Prospectivos
Ordens quanto à Conduta (Ética Médica)
Fatores de Risco
Estatísticas não Paramétricas
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenergic Agonists); YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE


  5 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28679640
[Au] Autor:Johnson LM; Frader J; Wolfe J; Baker JN; Anghelescu DL; Lantos JD
[Ad] Endereço:Division of Oncology Hospitalist Medicine, St. Jude's Hospital and Research Center, Memphis, Tennessee.
[Ti] Título:Palliative Sedation With Propofol for an Adolescent With a DNR Order.
[So] Source:Pediatrics;140(2), 2017 Aug.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Death from cancer is often painful. Usually, the pain can be relieved in ways that allow patients to remain awake and alert until the end. Sometimes, however, the only way to relieve pain is to sedate patients until they are unconscious. This method has been called palliative sedation therapy. Palliative sedation therapy is controversial because it can be misunderstood as euthanasia. We present a case in which an adolescent who is dying of leukemia has intractable pain. Experts in oncology, ethics, pain management, and palliative care discuss the trade-offs associated with different treatment strategies.
[Mh] Termos MeSH primário: Dor Intratável/tratamento farmacológico
Cuidados Paliativos/métodos
Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia
Propofol
Ordens quanto à Conduta (Ética Médica)
Assistência Terminal/ética
Assistência Terminal/métodos
[Mh] Termos MeSH secundário: Adolescente
Sedação Profunda/ética
Consultoria Ética
Ética Médica
Feminino
Seres Humanos
Comunicação Interdisciplinar
Colaboração Intersetorial
Cuidados Paliativos/ética
Ordens quanto à Conduta (Ética Médica)/ética
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
YI7VU623SF (Propofol)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE


  6 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28662781
[Au] Autor:Baumann M; Killebrew S; Zimnicki K; Balint K
[Ti] Título:Do-Not-Resuscitate Orders in the Perioperative Environment: A Multidisciplinary Quality Improvement Project.
[So] Source:AORN J;106(1):20-30, 2017 Jul.
[Is] ISSN:1878-0369
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Do-not-resuscitate (DNR) orders in the perioperative environment must be managed according to national and institutional guidelines. Health care professionals, including perioperative nurses, may be unfamiliar with the guidelines and unsure of their role in reevaluating a DNR order. We conducted a multidisciplinary quality improvement project at a metropolitan community hospital that aimed to improve health care providers' compliance with the institutional policy, nursing involvement in DNR reevaluation, and communication between providers. The project intervention was an educational fair preceded and followed by a survey measuring knowledge about DNR orders, institutional policy, and national guidelines; attitude toward and comfort with the reevaluation process; and the effectiveness of the communication processes. Knowledge of DNR orders improved (P < .0001) for three of four survey questions. Attitude, comfort, and communication also improved (P < .01). A chart audit two months after the intervention showed that compliance with the institutional policy increased by 75%.
[Mh] Termos MeSH primário: Fidelidade a Diretrizes
Período Perioperatório
Melhoria de Qualidade
Ordens quanto à Conduta (Ética Médica)
[Mh] Termos MeSH secundário: Comunicação
Seres Humanos
Política Organizacional
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170701
[St] Status:MEDLINE


  7 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28659419
[Au] Autor:Guha R; Boehme A; Demel SL; Li JJ; Cai X; James ML; Koch S; Langefeld CD; Moomaw CJ; Osborne J; Sekar P; Sheth KN; Woodrich E; Worrall BB; Woo D; Chaturvedi S
[Ad] Endereço:From the University of Virginia (R.G. and B.B.W.), Charlottesville; Columbia University (A.B.), New York, NY; University of Cincinnati (S.L.D., C.J.M., J.O., P.S., D.W.), OH; Georgetown University (J.J.L.), Washington, DC; Tufts Medical Center (X.C.), Boston, MA; Duke University (M.L.J.), Durham, NC
[Ti] Título:Aggressiveness of care following intracerebral hemorrhage in women and men.
[So] Source:Neurology;89(4):349-354, 2017 Jul 25.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare comorbidities and use of surgery and palliative care between men and women with intracerebral hemorrhage (ICH). METHODS: The Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) study is a prospective, multicenter, case-control study of ICH risk factors and outcomes. We compared comorbidities, treatments, and use of do-not-resuscitate (DNR) orders in men vs women. Multivariate analysis was used to assess the likelihood of ICH surgery and palliative care after adjustment for variables that were < 0.1 in univariate analyses and backward elimination to retain those that were significant ( < 0.05). RESULTS: Women were older on average (65.0 vs 59.9, < 0.0001), and higher proportions of women had previous stroke (24.1% vs 19.3%, = 0.002), had dementia (6.1% vs 3.4%, = 0.0007), lived alone (23.1% vs 18.0%, = 0.0005), and took anticoagulants (12.8% vs 10.1% = 0.02), compared with men. Men had higher rates of alcohol and cocaine use. After adjusting for age, hematoma volume, and ICH location, there was no difference in rates of surgical treatment by sex (odds ratio [OR] 0.93 for men vs women, 95% confidence interval [CI] 0.68-1.28, = 0.67), and there was no difference in DNR/comfort care decisions after adjustment for ICH score, prior stroke, and dementia (OR 0.96, CI 0.77-1.22, = 0.76). CONCLUSIONS: After ICH, women do not receive less aggressive care than men after controlling for the substantial comorbidity differences. Future studies on sex bias should include the presence of comorbidities, prestroke disability, and other factors that may influence management.
[Mh] Termos MeSH primário: Hemorragia Cerebral/epidemiologia
Hemorragia Cerebral/terapia
Procedimentos Neurocirúrgicos
Cuidados Paliativos
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Transtornos Relacionados ao Uso de Álcool/complicações
Transtornos Relacionados ao Uso de Álcool/epidemiologia
Transtornos Relacionados ao Uso de Álcool/terapia
Estudos de Casos e Controles
Hemorragia Cerebral/complicações
Comorbidade
Demência/complicações
Demência/epidemiologia
Demência/terapia
Feminino
Disparidades em Assistência à Saúde
Seres Humanos
Tempo de Internação
Funções Verossimilhança
Masculino
Meia-Idade
Análise Multivariada
Estudos Prospectivos
Ordens quanto à Conduta (Ética Médica)
Acidente Vascular Cerebral/complicações
Acidente Vascular Cerebral/epidemiologia
Acidente Vascular Cerebral/terapia
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004143


  8 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28595818
[Au] Autor:Baumann LM; Williams K; Abdullah F; Hendrickson RJ; Oyetunji TA
[Ad] Endereço:Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
[Ti] Título:Do-not-resuscitate orders and high-risk pediatric surgery: professional nuisance or medical necessity?
[So] Source:J Surg Res;217:213-216, 2017 Sep.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is a paucity of data in the literature regarding end-of-life care and do-not-resuscitate (DNR) status of the pediatric surgical patient, although invasive procedures are frequently performed in very high risk and critically ill children. Despite significant efforts in adult medicine to enhance discussions around end-of-life care, little is known about similar endeavors in the pediatric population. METHODS: A retrospective review of the National Surgical Quality Improvement Program Pediatric database was performed. Patients aged <18 y with American Society of Anesthesiologists class 3 or greater who underwent elective surgical procedure in 2012-2013 were included. Demographic factors, principal diagnosis, associated conditions, DNR status, and mortality were extracted. Descriptive analysis was performed. RESULTS: A total of 20,164 patients met the inclusion criteria. Only 36 (0.2%) patients had a signed DNR order before surgical procedure. Of severely ill American Society of Anesthesiologists four patients, only 1% had DNR status. There were no differences in gender, race, ethnicity, or surgical specialty by the presence of a DNR order. Notably, 17.1% of children who died within this period had multiple surgical procedures performed before expiring. CONCLUSIONS: The rate of documented DNR status is extremely low in the high-risk pediatric surgical population undergoing elective surgery, even among severely ill children. Well-informed end-of-life care discussions in a patient-focused approach are essential in the surgical care of children with complex medical conditions and critical illness. Better documentation of DNR discussion will also allow better tracking and benchmarking.
[Mh] Termos MeSH primário: Pediatria
Ordens quanto à Conduta (Ética Médica)
Especialidades Cirúrgicas
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170610
[St] Status:MEDLINE


  9 / 3494 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28564570
[Au] Autor:Rolnick JA; Asch DA; Halpern SD
[Ad] Endereço:From the National Clinician Scholars Program (J.A.R., D.A.A.), the Departments of Medicine (J.A.R., D.A.A., S.D.H.) and Medical Ethics and Health Policy (D.A.A., S.D.H.), Center for Health Care Innovation (D.A.A.), and Palliative and Advanced Illness Research Center (J.A.R., S.D.H.), University of Pennsylvania, and the Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center (D.A.A.) - both in Philadelphia.
[Ti] Título:Delegalizing Advance Directives - Facilitating Advance Care Planning.
[So] Source:N Engl J Med;376(22):2105-2107, 2017 Jun 01.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diretivas Antecipadas/legislação & jurisprudência
[Mh] Termos MeSH secundário: Planejamento Antecipado de Cuidados
Seres Humanos
Ordens quanto à Conduta (Ética Médica)/legislação & jurisprudência
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1700502


  10 / 3494 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28550442
[Au] Autor:Osinski A; Vreugdenhil G
[Ad] Endereço:Department of Internal Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands. A.Osinski@mmc.nl.
[Ti] Título:Cardiopulmonary resuscitation in cancer patients: still some problems to solve.
[So] Source:Support Care Cancer;25(8):2367-2369, 2017 Aug.
[Is] ISSN:1433-7339
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:We reply to Vincent et al. who made valuable comments on our recently published review concerning do-not-resuscitate orders in cancer patients in this journal. We emphasize the difficulties in estimating the prognosis in cancer patients after cardiopulmonary resuscitation and discuss the mentioned study by Champigneulle et al., which results might by influenced by selection bias. Performance scores seem to be an important prognostic factor. However, there is lack of studies determining the exact value in cancer patients after cardiopulmonary resuscitation. We believe interprofessional consultation and discussion should always precede do-not-resuscitate orders. Interviews with oncologists and general practitioners show that there is room for improvement on this matter. More advance directives are written over the last years. However, studies show that patients more often want to discuss the matter than that it is addressed by their physicians.
[Mh] Termos MeSH primário: Reanimação Cardiopulmonar/métodos
[Mh] Termos MeSH secundário: Diretivas Antecipadas
Feminino
Seres Humanos
Masculino
Prognóstico
Ordens quanto à Conduta (Ética Médica)
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170528
[St] Status:MEDLINE
[do] DOI:10.1007/s00520-017-3748-y



página 1 de 350 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde