Evaluation of Changes in Forgoing Life-Sustaining Treatment in Israeli ICU Patients
| Autor: | Charles L. Sprung, Daniel J. Jakobson, Reuven Pizov, T.M. Worner, Leonid A. Eidelman, Arieh Oppenheim |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Icu patients medicine.medical_treatment Critical Care and Intensive Care Medicine law.invention Life sustaining treatment law medicine Humans In patient Cardiopulmonary resuscitation Israel Intensive care medicine Withholding Treatment business.industry Do not resuscitate Middle Aged Euthanasia Passive Intensive care unit Cardiopulmonary Resuscitation Life Support Care Intensive Care Units Emergency medicine Christian ministry Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest. 126:1969-1973 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.126.6.1969 |
| Popis: | Introduction: Over the last several years, there have been legal decisions and changes in medical directives concerning end-of-life decisions in Israel. Methods: The data were compared to evaluate the changes in the frequency and types of forgoing of life-sustaining treatment (FLST) in patients who were admitted to the ICU during period I (November 1994 to July 1995) and period II (January 1998 to January 1999). Results: During period I, there were 385 ICU admissions, and during period II there were 627 ICU admissions. In period I, FLST or death occurred in 13.5% of patients, and in 12% in period II. There was no significant difference in cardiopulmonary resuscitation (9% vs 13%, respectively), withholding therapy (90% vs 91%, respectively), or withdrawing therapy (0% vs 0%, respectively) between the two study periods. Conclusions: There was no significant change in the frequency or types of FLST in an Israeli ICU between 1994 and 1998, despite passage of a new Patients' Rights Law and the issuing of a Ministry of Health directive on the treatment of the terminally ill, both of which occurred in 1996, and recent district court decisions favoring the termination of life-sustaining therapies. |
| Databáze: | OpenAIRE |
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