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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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Impact of a formal advance care planning program on end-of-life care for patients with heart failure - results from a randomized controlled trial

MALHOTRA, Chetna ; SIM, David ; JAUFEERALLY, Fazlur Rehman ; HU, Meibo ; NADKARNI, Nivedita ; NG, Clarice Shu Hwa ; WONG, Genevieve ; TAN, Boon Cheng ; LIM, Jing Fen ; CHUANG, Claire Ya-Ting ; FINKELSTEIN, Eric A.
Journal of cardiac failure, 25/01/2020, Pagination inconnue

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End-of-life care needs for noncancer patients who want to die at home in South Korea

LEE, Jong-Eun ; LEE, Jiwon ; LEE, Hanul ; PARK, Jin-Kyoung ; PARK, Younghye ; CHOI, Whan Seok
International journal of nursing practice, 23/01/2020, Pagination inconnue

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Organ donation at the end of life - experiences from the 3 wishes project

TAKAOKA, Alyson ; HONARMAND, Kimia ; VANSTONE, Meredith ; TAM, Benjamin ; SMITH, Orla M. ; BAKER, Andrew ; LEBLANC, Allana ; SWINTON, Marilyn ; NEVILLE, Thanh H. ; CLARKE, France J. ; HANCOCK, Jennifer ; MCMULLEN, Sarah ; MEADE, Maureen O. ; ROSE, Trudy ; ARORA, Samantha ; COOK, Deborah J.
Journal of intensive care medicine, 21/01/2020, Pagination inconnue

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Preference for death at home and associated factors among older people in the city of Belo Horizonte, Brazil

JORGE, Rafaela ; CALANZANI, Natália ; FREITAS, Adelaide ; NUNES, Rui ; SOUSA, Liliana
Ciencia and saude coletiva, 05/08/2019, vol.24, n°8, p. 3001-3012

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Elderly patients presenting to a level I trauma center with physician orders for a life-sustaining treatment form - a propensity-matched analysis

BALLOU, Jessica H. ; DEWEY, Elizabeth N. ; ZONIES, David H.
The Journal of trauma and acute care surgery, 01/01/2019, vol.87, n°1, p. 153-160

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Thème : Age de la vie, situations spécifiques liées à la fin de vie.

PERSONNE AGEE ; TRAUMATISME ; PARCOURS ; PREFERENCE

BACKGROUND: Physician Orders for Life-Sustaining Treatment (POLST) forms are portable medical orders documenting patient treatment preferences in an acute health decline. It is unclear how these forms are used in the management of elderly trauma patients.
METHODS: Patients 65 years and older presenting to a Level I trauma center were identified between 2012 and 2017. Hospital trauma registry and medical records were used to identify a preinjury POLST and its acknowledgment by providers within 24 hours of arrival. A 1:1 propensity score matched sample was used to evaluate clinical outcomes based on the presence of a POLST limiting interventions with p less than 0.05 deemed significant.
RESULTS: There were 3,342 elderly trauma patients identified. One hundred ninety-two (6%) had a POLST identified by the institutional trauma registry dated before the injury. Do not attempt resuscitation (DNR) was listed in 154 patients (80%), and 79% desired to avoid the intensive care unit (ICU) with limited (54%) or comfort measures only (CMO, 25%). One hundred seven (76%) of admitted POLST DNR patients had a DNR code status for the majority of their admission. 59 (58%) of the limited and 29 (60%) of the comfort measures only patients were admitted to the ICU. Acknowledgment of a preinjury POLST or code status was explicitly documented in 110 cases (57%). Propensity score analysis yielded a comparison sample of 288 patients. In the matched comparison, an acknowledged POLST with limitations was associated with a shorter ICU stay (1.7 vs. 2.8 days, p = 0.008) but there was no difference in ICU admission (58% vs. 61%, p = 0.69), total length of stay (3.8 days vs. 4.8 days, p = 0.08), or in-hospital mortality (13% vs. 8%, p = 0.2).
CONCLUSION: Limited provider acknowledgment of preinjury medical directives necessitates protocol development for the management of frail elderly trauma patients. When acknowledged, patients with a POLST limiting interventions had fewer ICU days without increased in-hospital mortality compared with similarly injured elderly patients.
LEVEL OF EVIDENCE: Care Management, level IV.

Origine : PubMed

Using cards to facilitate conversations about wishes and priorities of patients in palliative care

MÖLLER, Ulrika Olsson ; PRANTER, Christa ; HAGELIN, Carina Lundh ; BECK, Ingela ; MALMSTRÖM, Marlene ; FÜRST, Carl Johan ; RASMUSSEN, Brigit H.
JOURNAL OF HOSPICE AND PALLIATIVE NURSING, 02/2020, vol.22, n°1, p. 33-39

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When intensive care becomes good end-of-life care

WUNSCH, Hannah
American journal of respiratory and critical care medicine, 21/01/2020, p. 1-4

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Let us talk about death - gender effects in cancer patients' preferences for end-of-life discussions

SEIFART, C. ; RIERA KNORRENSCHILD, J. ; HOFMANN, M. ; NESTORIUC, Y. ; RIEF, W. ; VON BLANCKENBURG, P.
Supportive care in cancer, 18/01/2020, p. 1-9

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A descriptive analysis of end-of-life conversations with long-term glioblastoma survivors

MIRANDA, Stephen P. ; BERNACKI, Rachelle E. ; PALADINO, Joanna M. ; NORDEN, Andrew D. ; KAVANAGH, Jane E. ; PALMOR, Marissa C. ; BLOCK, Susan D.
The American journal of hospice and palliative care, 05/2018, vol.35, n°5, p. 804-811

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Validity of the French version of the autonomy preference index and its adaptation for patients with advanced cancer

COLOMBET, Isabelle ; RIGAL, Laurent ; URTIZBEREA, Miren ; VINANT-BINAM, Pascale ; ROUQUETTE, Alexandra
Plos one, 2020, vol.15, n°1, p. 1-16

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Variation in patient-reported advance care preferences in the preoperative setting

UDELSMAN, Brooks V. ; GOVEA, Nicolas ; COOPER, Zara ; CHANG, David C. ; BADER, Angela ; MEYER, Matthew J.
Anesthesia and analgesia, 08/01/2020, Pagination inconnue

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Experiences and needs of patients with incurable cancer regarding advance care planning - results from a national cross-sectional survey

STEGMANN, Mariken E. ; GEERSE, Olaf P. ; TANGE, Dorien ; RICHEL, Carol ; BROM, Linda ; ENGELEN, Vivian ; DUIJTS, Saskia F. A.
Supportive care in cancer, 03/01/2020, Pagination inconnue

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Comparison of the perspective of a "good death" in older adults and physicians in training at university hospitals

LIMPAWATTANA, Panita ; SRINONPRASERT, Varalak ; MANJAVONG, Manchumad ; YONGRATTANAKIT, Kongpob ; KAIYAKIT, Sawadee
Journal of applied gerontology, 31/12/2019, Pagination inconnue

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Hospital or home? - where should children die and how do we make that a reality?

JOHNSTON, Emily E. ; MARTINEZ, Isaac ; CURRIE, Erin ; BROCK, Katharine E. ; WOLFE, Joanne
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 27/12/2019, Pagination inconnue

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Expectation of the place of care and place of death of terminal cancer patients in Hong Kong - a hospital based cross-sectional questionnaire survey

YEUNG, Nga Yan
Annals of palliative medicine, 21/11/2019, Pagination inconnue

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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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Patients with advanced cancer choose less aggressive medical treatment on vignettes after using a computer-based decision aid

GREEN, Michael J. ; VAN SCOY, Lauren J. ; FOY, Andrew J. ; DIMMOCK, Anne E. F. ; LEHMAN, Erik ; LEVI, Benjamin H.
The American journal of hospice and palliative care, 13/12/2019, Pagination inconnue

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Exploring the relative value of end of life QALYs - are the comparators important?

MCHUGH, Neil ; PINTO-PRADES, José Luis ; BAKER, Rachel ; MASON, Helen ; DONALDSON, Cam
Social science and medicine, 11/2019, vol.245, p. 1-9

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