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Frailty status predicts futility of cardiopulmonary resuscitation in older adults

IBITOYE, Sarah E ; RAWLINSON, Sadie ; CAVANAGH, Andrew ; PHILLIPS, Victoria ; SHIPWAY, David J H
Age and ageing, 05/06/2020, Pagination inconnue

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Perceptions of intensive care unit nurses of therapeutic futility - a scoping review

VIEIRA, João V. ; DEODATO, Sérgio ; MENDES, Felismina
Clinical ethics, 09/06/2020, Pagination inconnue

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Prognosis and futility in neurosurgical emergencies - a review

ANDERSON, Emily ; KRYZANSKI, James
Clinical neurology and neurosurgery, 07/05/2020, vol.195, Pagination inconnue

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Meaningful futility - requests for resuscitation against medical recommendation

VIVAS, Lucas ; CARPENTER, Travis
Journal of medical ethics, 24/04/2020, p. 1-3

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When can muslims withdraw or withhold life support? - a narrative review of islamic juridical rulings

MOHIUDDIN, Afshan ; SULEMAN, Mehrunisha ; RASHEED, Shoaib ; PADELA, Aasim I.
Global bioethics, 01/01/2020, vol.31, n°1, p. 29-46

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Death by decade - establishing a transfusion ceiling for futility in massive transfusion

MORRIS, Mackenzie C. ; NIZIOLEK, Grace M. ; BAKER, Jennifer E. ; HUEBNER, Benjamin R. ; HANSEMAN, Dennis ; MAKLEY, Amy T. ; PRITTS, Timothy A. ; GOODMAN, Michael D.
Journal of surgical research, 08/2020, vol.252, p. 139-146

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Thème : Soins.

TRANSFUSION SANGUINE ; ACHARNEMENT THERAPEUTIQUE ; MORTALITE

Background: Age and massive transfusion are predictors of mortality after trauma. We hypothesized that increasing age and high-volume transfusion would result in progressively elevated mortality rates and that a transfusion “ceiling” would define futility.
Methods: The Trauma Quality Improvement Program (TQIP) database was queried for 2013-2016 records and our level I trauma registry was reviewed from 2013 to 2018. Demographic, mortality, and blood transfusion data were collected. Patients were grouped by decade of life and by packed red blood cell (pRBC) transfusion requirement (zero units, 1-3 units, or =4 units) within 4 h of admission.
Results: TQIP analysis demonstrated an in-hospital mortality risk that increased linearly with age, to an odds ratio of 10.1 in =80 y old ( P < 0.01). Mortality rates were significantly higher in older adults ( P < 0.01) and those with more pRBCs transfused. In massively transfused patients, the transfusion “ceiling” was dependent on age. Owing to the lack granularity in the TQIP database, 230 patients from our institution who received =4 units of pRBCs within 4 h of admission were reviewed. On arrival, younger patients had significantly higher heart rates and more severe derangements in lactate levels, base deficits, and pH compared with older patients. There were no differences among age groups in injury severity score, systolic blood pressure, or mortality.
Conclusions: In massively transfused patients, mortality increased with age. However, a significant proportion of older adults were successfully resuscitated. Therefore, age alone should not be considered a contraindication to high-volume transfusion. Traditional physiologic and laboratory criteria indicative of hemorrhagic shock may have reduced reliability with increasing age, and thus providers must have a heightened suspicion for hemorrhage in the elderly. Early transfusion requirements can be combined with age to establish prognosis to define futility to help counsel families regarding mortality after traumatic injury.

Origine : DOI.org (Crossref

Transcatheter aortic valve implantation-related futility - prevalence, predictors, and clinical risk model

HIGUCHI, Ryosuke ; SAJI, Mike ; HAGIYA, Kenichi ; TAKAMISAWA, Itaru ; SHIMIZU, Jun ; TOBARU, Tetsuya ; IGUCHI, Nobuo ; TAKANASHI, Shuichiro ; TAKAYAMA, Morimasa ; ISOBE, Mitsuaki
Heart and vessels, 06/04/2020, Pagination inconnue

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Australian policies on "futile" or "non-beneficial" treatment at the end of life - a qualitative content analysis

CLOSE, Eliana ; PARKER, Malcolm ; WILLMOTT, Lindy ; WHITE, Ben ; CROWDEN, Andrew
Journal of law and medicine, 12/2019, vol.27, n°2, p. 415-439

When does treatment in cancer care become futile?

KATZ, Pamela
Clinical journal of oncology nursing, 01/02/2020, vol.24, n°1, p. 111

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Reconsidering requests - futility in IR

CLARK, Jessica M. ; KELLER, Eric J.
Journal of vascular and interventional radiology, 06/2019, vol.30, n°6, p. 961-962

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Perception of provision of futile care among clinicians in the neuroscience intensive care unit

AMOROSO, Shanna ; CHALELA, Julio A.
The journal of neuroscience nursing, 10/2019, vol.51, n°5, p. 249-252

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Suspending treatment of neovascular age-related macular degeneration in cases of futility

WONG, David T. ; LAMBROU, George N. ; LOEWENSTEIN, Anat ; PEARCE, Ian ; OKADA, Annabelle A.
Retina, 24/12/2019, p. 1-11

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In the child's best interests - should life be sustained when further treatment is futile?

MARLAND, Emma ; DAVIES, Barbara
Nursing children and young people, 22/10/2019, Pagination inconnue

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La portée d'une formation aux soins palliatifs dans l'accompagnement d'une famille

VILLETTE, Magalie ; BOUTI, Catherine
[2019] , 53 p.

Identifying patients at risk of futile resuscitation - palliative care indicators in out-of-hospital cardiac arrest

COKLJAT, Mia ; LLOYD, Adam ; CLARKE, Scott ; CRAWFORD, Anna ; CLEGG, Gareth
BMJ supportive and palliative care, 17/09/2019, Pagination inconnue

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Update and recommendations in decision making referred to limitation of advanced life support treatment

ESTELLA, A. ; SARALEGUI, I. ; RUBIO SANCHIZ, O. ; HERNANDEZ-TEJEDOR, A. ; MARTIN, M. C. ; CABRE PERICAS, L. ; MASNOU BURRALLO, N. ; RECUERDA NUNEZ, M. ; MONZON, J. L. ; LOPEZ CAMPS, V.
Medicina Intensiva, 28/08/2019, Pagination inconnue

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How many older adults receive drugs of questionable clinical benefit near the end of life? - a cohort study

MORIN, Lucas ; WASTESSON, Jonas W. ; LAROCHE, Marie-Laure ; FASTBOM, Johan ; JOHNELL, Kristina
PALLIATIVE MEDICINE, 07/06/2019, p. 1-11

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Questionnaire survey on medical futility and termination of resuscitation in cardiac arrest patients among emergency physicians in Hong Kong

SO, C. W. ; LUI, C. T. ; TSUI, K. L. ; CHAN, K. L. ; LAW, A. K. K. ; WONG, Y. K. ; LI, T. ; WONG, C. L. ; LEUNG, S. C.
Hong Kong medical journal, 06/2019, vol.25, n°3, p. 183-191

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The new futility? - the rhetoric and role of "suffering" in pediatric decision-making

SALTER, Erica K.
Nursing ethics, 28/04/2019, Pagination inconnue

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Doctors' perceptions of how resource limitations relate to futility in end-of-life decision making - a qualitative analysis

CLOSE, Eliana ; WHITE, Ben P. ; WILLMOTT, Lindy ; GALLOIS, Cindy ; PARKER, Malcolm ; GRAVES, Nicholas ; WINCH, Sarah
Journal of medical ethics, 15/05/2019, Pagination inconnue

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