For patients hospitalized with serious illnesses, we identified factors associated with a stated preference to forgo cardiopulmonary resuscitation (CPR), examined physician-patient communication about these issues, and determined the relationship of patients'preferences to intensity of care and survival.
The study was a cross-sectional evaluation of patient preferences.
The setting was five geographically diverse academic acute-care medical centers participating in the SUPPORT (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments) project.
Study participants were hospitalized patients kappa18 years of age with 1 of 9 serious illnesses who were interviewed between days 3 and 6 after qualifying for the study.
Using standardized interviews, patients provided information on demographics, preferences for CPR and other treatments, quality of life, functional status, perceptions of prognosis, and whether the patient had discussed CPR preferences with his or her physician.
Data abstracted from the medical record included physiologic measures, therapeutic intensity, whether CPR was provided, and whether there was a do-not-resuscitate order.
Of 1,955 eligible patients, 84% were interviewed (mean age 62 years, 58% men, inhospital mortality 7%, 6-month mortality 33%). Of the respondents, 28% did not want CPR.
Factors associated independently with not wanting CPR included : hospital site ; diagnos...
Mots-clés Pascal : Réanimation cardiocirculatoire, Réanimation respiratoire, Choix, Malade, Attitude, Epidémiologie, Homme, Réanimation
Mots-clés Pascal anglais : Intensive cardiocirculatory care, Respiratory intensive care, Choice, Patient, Attitude, Epidemiology, Human, Resuscitation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0162049
Code Inist : 002B30A09. Création : 199608.