logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Fulltext. Death in the hospital.

    Article - En anglais

    Fulltext.

    Objective 

    To examine symptoms and treatments among hospitalized adults in the last 2 days of life.

    Methods 

    Review of 72 consecutive medical records of patients who died at an academic medical center and 32 consecutive medical records of patients who died at an affiliated Veterans Affairs hospital.

    Medical records were examined for documentation of symptoms, treatment, and orders to limit the use of life-sustaining interventions.

    Results 

    The 104 patients who died had an average age of 68.9 years and 70 (68%) were men.

    The majority had neoplasms or acquired immunodeficiency syndrome, cardiovascular disease, and end-stage lung disease ; the remainder died of other acute or chronic illnesses.

    In the last 2 days of life, pain was noted in 49 patients (46%). Dyspnea (n=53) and restlessness or agitation (n=50) were documented in 51% of the patients.

    In the last 48 hours of life 12 patients (12%) underwent an attempt at resuscitation, 26 patients (27%) were receiving ventilatory support, and 18% were restrained.

    Nearly half of the patients (48%) had an order or progress note specifying « comfort measures only » (CMO).

    Patients with CMO, compared with those without such orders, had similar levels of pain, agitation, and dyspnea.

    Patients with CMO were less likely to be in an intensive care unit (P=001), receive ventilatory support (P=001), receive antibiotics (P=009), or be weighed (P=001). (...)

    Mots-clés Pascal : Hôpital, Soin, Santé, Amélioration, Mort, Organisation santé, Homme

    Mots-clés Pascal anglais : Hospital, Care, Health, Improvement, Death, Public health organization, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0440241

    Code Inist : 002B30A04D. Création : 25/01/1999.