VigiPallia : Résultats

LIMITATION TRAITEMENT

0 sélectionnée(s) / 107 réponse(s)

(1) 2 3 4 ... 6 > »

Late decisions about treatment limitation in patients with cancer - empirical analysis of end-of-life practices in a haematology and oncology unit at a German university hospital

MEHLIS, Katja ; BIERWIRTH, Elena ; LARYIONAVA, Katsiaryna ; MUMM, Friederike ; HEUSSNER, Pia ; WINKLER, Eva C.
ESMO open, 10/2020, vol.5, n°5, p. 1-8

Document en ligne

Treatment limitation decisions in critically ill patients with a malignancy on the intensive care unit

VAN DER ZEE, Esther N. ; EPKER, Jelle L. ; BAKKER, Jan ; BENOIT, Dominique D. ; KOMPANJE, Erwin J. O.
Journal of intensive care medicine, 13/08/2020, Pagination inconnue

Document en ligne

Prise de décision d’une LAT des médecins exerçant en soins palliatifs - éthique et vécu émotionnel

ONDET, Marie ; POULET, Caroline
MEDECINE PALLIATIVE, 08/2020, vol.19, n°4, p. 185-191

Document en ligne

Manuel de soins palliatifs - clinique, psychologie, éthique

LE BERRE, Rozenn
Dunod , 08/2020 , 1260 p.

End-of-life care in a pediatric intensive care unit - the impact of the development of a palliative care unit

BOBILLO-PEREZ, Sara ; SEGURA, Susana ; GIRONA-ALARCON, Monica ; FELIPE, Aida ; BALAGUER, Monica ; HERNANDEZ-PLATERO, Lluisa ; SOLE-RIBALTA, Anna ; GUITART, Carmina ; JORDAN, Iolanda ; CAMBRA, Francisco Jose
BMC palliative care, 28/05/2020, vol.19, n°1, p. 1-8

Document en ligne

Limiting treatment in prehospital care - a prospective, observational multicentre study

KANGASNIEMI, Heidi ; SETALA, Piritta ; OLKINUORA, Anna ; HUHTALA, Heini ; TIRKKONEN, Joonas ; KAMARAINEN, Antti ; VIRKKUNEN, Ilkka ; YLI-HANKALA, Arvi ; JAMSEN, Esa ; HOPPU, Sanna
Acta anaesthesiologica Scandinavica, 10/06/2020, Pagination inconnue

Document en ligne

Mort et handicap chez le nouveau-né et l’enfant - représentation et enjeux dans la société Française

MOREL, Valentine ; CRETIN, Elodie ; FRACHE, Sandra ; VIEUX, Rachel
MEDECINE PALLIATIVE, 06/2020, vol.19, n°3, p. 134-141

Document en ligne

La place des parents dans les décisions de LAT en néonatologie - témoignage argumenté et proposition

SPRANZI, Marta ; SENTEUR, Amélie
MEDECINE PALLIATIVE, 06/2020, vol.19, n°3, p. 168-171

Document en ligne

Is withdrawing treatment really more problematic than withholding treatment?

CAMERON, James ; SAVULESCU, Julian ; WILKINSON, Dominic
Journal of medical ethics, 25/05/2020, p. 1-5

Document en ligne

Allocating scarce resources and triaging patients during the Covid-19 pandemic

KIRKPATRICK, James N. ; HULL, Sarah C. ; FEDSON, Savitri ; MULLEN, Brendan ; GOODLIN, Sarah J.
Journal of the American College of Cardiology, 08/05/2020, p. 1-24

Document en ligne

Initiating end-of-life decisions with parents of infants receiving neonatal intensive care

SHAW, Chloe ; CONNABEER, Kathrina ; DREW, Paul ; GALLAGHER, Katie ; ALADANGADY, Narendra ; MARLOW, Neil
Patient education and counseling, 10/02/2020, Pagination inconnue

Document en ligne

Underlying goals of advance care planning (ACP) - a qualitative analysis of the literature

FLEUREN, Nienke ; DEPLA, Marja F. I. A. ; JANSSEN, Daisy J. A. ; HUISMAN, Martijn ; HERTOGH, Cees M. P. M.
BMC palliative care, 06/03/2020, vol.19, n°1, p. 1-15

Document en ligne

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

Document en ligne

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

Document en ligne

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, 07/2020, vol.37, n°7, p. 532-536

Document en ligne

Treatment limitation and advance planning - hospital-wide audit of paediatric death

AUDIGE, Manon ; GILLAM, Lynn ; STARK, Zornitza
Journal of paediatrics and child health, 03/01/2020, Pagination inconnue

Document en ligne

A pilot study to evaluate compliance with guidelines for preprocedural reconsideration of code status limitations

URMAN, Richard D. ; LILLEY, Elizabeth J. ; CHANGALA, Marguerite ; LINDVALL, Charlotta ; HEPNER, David L. ; BADER, Angela M.
JOURNAL OF PALLIATIVE MEDICINE, 08/2018, vol.21, n°8, p. 1152-1156

Patients with limitation or withdrawal of life supporting care admitted in a medico-surgical intermediate care unit - prevalence, description and outcome over a six-month period

MOLMY, Perrine ; VANGRUNDERBEECK, Nicolas ; NIGEON, Olivier ; LEMYZE, Malcolm ; THEVENIN, Didier ; MALLAT, Jihad
Plos one, 2019, vol.14, n°11, p. 1-13

Document en ligne

Do-not-resuscitate and treatment limitation decisions - six years of experience from a Portuguese general intensive care unit

FERREIRA MONTEIRO, Nuno ; SIMOES, Isabel ; GASPAR, Isabel ; CARMO, Eduarda
Revista da associacao medica Brasileira, 2019, vol.65, n°9, p. 1168-1173

Document en ligne

Thème : Médecine.

FIN VIE ; EUROPE ; SOIN INTENSIF ; PRATIQUE MEDICALE ; LIMITATION TRAITEMENT

Importance: End-of-life decisions occur daily in intensive care units (ICUs) around the world, and these practices could change over time.
bjective To determine the changes in end-of-life practices in European ICUs after 16 years.
Design, Setting, and Participants: Ethicus-2 was a prospective observational study of 22 European ICUs previously included in the Ethicus-1 study (1999-2000). During a self-selected continuous 6-month period at each ICU, consecutive patients who died or had any limitation of life-sustaining therapy from September 2015 until October 2016 were included. Patients were followed up until death or until 2 months after the first treatment limitation decision.
Exposures: Comparison between the 1999-2000 cohort vs 2015-2016 cohort.
Main Outcomes and Measures: End-of-life outcomes were classified into 5 mutually exclusive categories (withholding of life-prolonging therapy, withdrawing of life-prolonging therapy, active shortening of the dying process, failed cardiopulmonary resuscitation [CPR], brain death). The primary outcome was whether patients received any treatment limitations (withholding or withdrawing of life-prolonging therapy or shortening of the dying process). Outcomes were determined by senior intensivists.
Results: Of 13 625 patients admitted to participating ICUs during the 2015-2016 study period, 1785 (13.1%) died or had limitations of life-prolonging therapies and were included in the study. Compared with the patients included in the 1999-2000 cohort (n = 2807), the patients in 2015-2016 cohort were significantly older (median age, 70 years [interquartile range {IQR}, 59-79] vs 67 years [IQR, 54-75]; P < .001) and the proportion of female patients was similar (39.6% vs 38.7%; P = .58). Significantly more treatment limitations occurred in the 2015-2016 cohort compared with the 1999-2000 cohort (1601 [89.7%] vs 1918 [68.3%]; difference, 21.4% [95% CI, 19.2% to 23.6%]; P < .001), with more withholding of life-prolonging therapy (892 [50.0%] vs 1143 [40.7%]; difference, 9.3% [95% CI, 6.4% to 12.3%]; P < .001), more withdrawing of life-prolonging therapy (692 [38.8%] vs 695 [24.8%]; difference, 14.0% [95% CI, 11.2% to 16.8%]; P < .001), less failed CPR (110 [6.2%] vs 628 [22.4%]; difference, -16.2% [95% CI, -18.1% to -14.3%]; P < .001), less brain death (74 [4.1%] vs 261 [9.3%]; difference, -5.2% [95% CI, -6.6% to -3.8%]; P < .001) and less active shortening of the dying process (17 [1.0%] vs 80 [2.9%]; difference, -1.9% [95% CI, -2.7% to -1.1%]; P < .001).
Conclusions and Relevance: Among patients who had treatment limitations or died in 22 European ICUs in 2015-2016, compared with data reported from the same ICUs in 1999-2000, limitations in life-prolonging therapies occurred significantly more frequently and death without limitations in life-prolonging therapies occurred significantly less frequently. These findings suggest a shift in end-of-life practices in European ICUs, but the study is limited in that it excluded patients who survived ICU hospitalization without treatment limitations.

Origine : PubMed

(1) 2 3 4 ... 6 > »

Actions

##titre_notice##