| Autor: |
Guillaume Economos, Pascale Cavalli, Thomas Guérin, Marilene Filbet, Elise Perceau-Chambard |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Turkish Journal of Emergency Medicine, Vol 19, Iss 4, Pp 141-145 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2452-2473 |
| DOI: |
10.1016/j.tjem.2019.09.003 |
| Popis: |
Objective: To assess appropriateness of end-of-life treatments provided to actively dying patients attending the emergency department of a primary care hospital. Methods: Retrospective cohort study of patients who died in the emergency department of a French primary care hospital between January 2014 and January 2017. The deceased were identified through the admissions register. Then, electronic medical records were screened for bio-demographic data, data relative to decisions to withhold or withdraw treatments, to diagnosis and to the care provided. Patients were clustered into two categories, actively dying or non-actively dying, using clinical opinion based on their medical records. Appropriateness of care was appraised following French guidelines. Results: One hundred and forty-six deaths were recorded. Actively dying patients mostly suffered from vascular conditions (29.4%). When compared to the overall sample, they were more likely to have decisions to withhold or withdraw treatments (OR = 5.3 [1.56; 20.7], p-value = 0.003), to have strong opioids (OR = 5.32 [2.1; 13.9], p-value |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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