VigiPallia : Résultats

DECISION MEDICALE

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Fair allocation of scarce medical resources in the time of Covid-19

EMANUEL, Ezekiel J. ; PERSAD, Govind ; UPSHUR, Ross ; THOME, Beatriz ; PARKER, Michael ; GLICKMAN, Aaron ; ZHANG, Cathy ; BOYLE, Connor ; SMITH, Maxwell ; PHILLIPS, James P.
The New England journal of medicine, 23/03/2020, p. 1-7

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The toughest triage - allocating ventilators in a pandemic

TRUOG, Robert D. ; MITCHELL, Christine ; DALEY, George Q.
The New England journal of medicine, 23/03/2020, p. 1-3

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End-of-life medical decision-making for children in custody - a collaborative, multi-stakeholder practical approach

CARROLL, Ricki S. ; HIRST, Eliza ; HUDSON, Mark ; SHAW, Molly ; DEUTSCH, Stephanie A.
CHILD ABUSE AND NEGLECT, 03/03/2020, vol.103, Pagination inconnue

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Thème : Aspects juridiques.

FIN VIE ; DECISION MEDICALE ; PARENT ; DROIT FAMILLE ; VIOLENCE

BACKGROUND: Parents have a constitutionally-protected, fundamental right to make decisions concerning the health and well-being of their children, afforded by the Due Process Clause of the Fourteenth Amendment. However, parental rights are not absolute, and may be curtailed after a finding of parental "unfitness" including perpetration of egregious child abuse/neglect. Court intervention may be necessary to assert "parens patriae" authority to protect a child's well-being. Disagreements over medical care for a child (particularly when parent maltreatment resulted in life-altering clinical conditions and parents are suspected of perpetrating abusive injuries) often pose conflicts of interest. End-of-life decision-making involving abuse perpetrators may be influenced by self-interest, due to potential for escalation of criminal charges.
OBJECTIVE: Discuss medico-legal decision-making for children in child welfare custody using a detailed case example involving a child near-fatally, abusively injured by his parents; review of relevant case law/national legal precedents; and clinical policy statements guiding end-of-life decision-making for pediatric patients.
PARTICIPANTS/SETTING/METHODS: Using an exploratory, quasi-qualitative approach, perceived experiences of purposefully-selected taskforce members identified key themes that informed a care de-escalation protocol, implemented across the state.
RESULTS: Key themes included coordinated communication, expedited legal proceedings, and balancing child's best interest (the right not to suffer for a prolonged period of time or sustain complications) with parents' rights and due process concerns, and informed protocol development.
CONCLUSIONS: Practicable guidance established in the protocol can be theoretically adapted at the local level to address the complexity inherent in end-of-life decision-making for children in custody.

Origine : PubMed

Association of physician orders for life-sustaining treatment with ICU admission among patients hospitalized near the end of life

LEE, Robert Y. ; BRUMBACK, Lyndia C. ; SATHITRATANACHEEWIN, Seelwan ; LOBER, William B. ; MODES, Matthew E. ; LYNCH, Ylinne T. ; AMBROSE, Corey I. ; SIBLEY, James ; VRANAS, Kelly C. ; SULLIVAN, Donald R. ; ENGELBERG, Ruth A. ; CURTIS, J. Randall ; KROSS, Erin K.
JAMA, 2020, vol.323, n°10, p. 950-960

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Dying in the neurointensive care unit after withdrawal of life-sustaining therapy - associations of advance directives and health-care proxies with timing and treatment intensity

STACHULSKI, Frank ; SIEGERINK, Bob ; BOSEL, Julian
Journal of intensive care medicine, 24/02/2020, Pagination inconnue

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Comparison of end-of-life care practices between children with complex chronic conditions and neonates dying in an ICU Versus Non-ICUs - a substudy of the pediatric end-of-life care needs in Switzerland (PELICAN) project

RAMELET, Anne-Sylvie ; BERGSTRAESSER, Eva ; GRANDJEAN, Chantal ; DORSAZ, Anouk ; FAHRNI-NATER, Patricia ; CIGNACCO, Eva ; ZIMMERMAN, Karin ; PEDIATRIC END-OF-LIFE CARE NEEDS IN SWITZERLAND (PELICAN) CONSORTIUM
Pediatric critical care medicine, 21/02/2020, Pagination inconnue

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Physician Orders for Life-Sustaining Treatment and limiting overtreatment at the end of life

TRUOG, Robert D. ; FRIED, Terri R.
JAMA, 16/02/2020, p. 1-2

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Association of Physician Orders for Life-Sustaining Treatment with ICU admission among patients hospitalized near the end of life

LEE, Robert Y. ; BRUMBACK, Lyndia C. ; SATHITRATANACHEEWIN, Seelwan
JAMA, 16/02/2020, p. 1-11

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Swedish intensivists' experiences and attitudes regarding end-of-life decisions

NORDENSKJOLD SYROUS, Alma ; AGARD, Anders ; KOCK REDFORS, Maria ; NAREDI, Silvana ; BLOCK, Linda
Acta anaesthesiologica Scandinavica, 18/01/2020, p. 1-7

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Medical end-of-life decisions in the oldest old in Switzerland

HUG, Kathrin ; PENDERS, Yolanda W. H. ; BISCHOFF-FERRARI, Heike A. ; BOPP, Matthias ; BOSSHARD, Georg
Swiss medical weekly, 15/01/2020, vol.150, p. 1-9

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Reducing discrepancy between code status orders and physician orders for life-sustaining therapies - results of a quality improvement initiative

LAKE, Rachel Elisabeth ; FRANKS, Lori ; MEISENBERG, Barry
The American journal of hospice and palliative care, 09/01/2020, Pagination inconnue

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End-of-life decision making by Austrian physicians - a cross-sectional study

JAHN-KUCH, D. ; DOMKE, A. ; BITSCHE, S. ; STÖGER, H. ; AVIAN, A. ; JEITLER, K. ; POSCH, N. ; SIEBENHOFER, A.
BMC palliative care, 04/01/2020, vol.19, n°1, p. 1-9

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Thème : Soins. Cote : eD02.03.02.00

AUTRICHE ; MEDECIN ; FIN VIE ; DECISION MEDICALE

Background: Austria has recently been embroiled in the complex debate on the legalization of measures to end life prematurely. Empirical data on end-of-life decisions made by Austrian physicians barely exists. This study is the first in Austria aimed at finding out how physicians generally approach and make end-of-life therapy decisions.
Methods: The European end-of-life decisions (EURELD) questionnaire, translated and adapted by Schildmann et al., was used to conduct this cross-sectional postal survey. Questions on palliative care training, legal issues, and use of and satisfaction with palliative care were added. All Austrian specialists in hematology and oncology, a representative sample of doctors specialized in internal medicine, and a sample of general practitioners, were invited to participate in this anonymous postal survey.
Results: Five hundred forty-eight questionnaires (response rate: 10.4%) were evaluated. 88.3% of participants had treated a patient who had died in the previous 12 months. 23% of respondents had an additional qualification in palliative medicine. The cause of death in 53.1% of patients was cancer, and 44.8% died at home. In 86.3% of cases, pain relief and / or symptom relief had been intensified. Further treatment had been withheld by 60.0%, and an existing treatment discontinued by 49.1% of respondents. In 5 cases, the respondents had prescribed, provided or administered a drug which had resulted in death. 51.3% of physicians said they would never carry out physician-assisted suicide (PAS), while 30.3% could imagine doing so under certain conditions. 38.5% of respondents supported the current prohibition of PAS, 23.9% opposed it, and 33.2% were undecided. 52.4% of physicians felt the legal situation with respect to measures to end life prematurely was ambiguous. An additional qualification in palliative medicine had no influence on measures taken, or attitudes towards PAS.
Conclusions: The majority of doctors perform symptom control in terminally ill patients. PAS is frequently requested but rarely carried out. Attending physicians felt the legal situation was ambiguous. Physicians should therefore receive training in current legislation relating to end-of-life choices and medical decisions. The data collected in this survey will help political decision-makers provide the necessary legal framework for end-of-life medical care.

Origine : PubMed

Clinicians' attitudes towards do-not-resuscitate directives in a teaching hospital in Saudi Arabia

MADADIN, Mohammed ; ALSAFFAR, Gada M. ; ALESSA, Sara M. ; KHAN, Afnan ; BADGHAISH, Dania A. ; ALGARNI, Shahad M. ; MENEZES, Ritesh G.
Cureus, 30/12/2019, vol.11, n°12, p. 1-8

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Palliative care in chronic heart failure - a theoretically guided, qualitative meta-synthesis of decision-making

SINGH, Gursharan K. ; IVYNIAN, Serra E. ; FERGUSON, Caleb ; DAVIDSON, Patricia M. ; NEWTON, Phillip J.
Heart failure reviews, 03/01/2020, Pagination inconnue

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The treatment decision under uncertainty - the effects of health, wealth and the probability of death

FELDER, Stefan
Journal of health economics, 16/11/2019, vol.69, p. 1-9

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Le jugement médical - un compromis entre science et intuition

CHARLES-MOORE, Françoise
MEDECINE PALLIATIVE, 12/2019, vol.18, n°6, p. 318-321

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Décision de nutrition artificielle en fin de vie, incertitudes et difficultés éthiques

CORNILLON, Pierre ; BEGUINOT, Marie ; KHETTAL, Messaoud ; RENOUX, Frédéric
MEDECINE PALLIATIVE, 12/2019, vol.18, n°6, p. 313-317

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La prise de décision en équipe pluridisciplinaire lors d'une sédation profonde et continue

ROYANT, Stéphanie ; SOL, Marie-Hélène ; DUBOURG, Patrice
2019 , 82 p.

Culture and personal influences on cardiopulmonary resuscitation - results of international survey

OZER, Janet ; ALON, Gadi ; LEYKIN, Dmitry ; VARON, Joseph ; AHARONSON-DANIEL, Limor ; EINAV, Sharon
BMC medical ethics, 26/12/2019, vol.20, n°1, p. 1-8

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An analysis of the decision-making process after "decision not to operate" in acutely unwell, high-risk general surgery patients

PINTO-LOPES, Rui ; THAHIR, Azeem ; HALAHAKOON, V. Chandima
The American journal of hospice and palliative care, 09/12/2019, Pagination inconnue

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