When Can Elderly Patients Be Excluded from Discussing Resuscitation?

Case notes of elderly medical patients were surveyed to determine when 'do not resuscitate' (DNR) decisions could legitimately be made without consulting them. Patients were thought to be suitable for exclusion from decisions if morbidity scores indicated that they were unlikely to survive...

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Detalles Bibliográficos
Autores principales: Stewart, Kevin, Wagg, Adrian, Kinirons, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of Physicians of London 1996
Materias:
Original Papers
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5401517/
https://www.ncbi.nlm.nih.gov/pubmed/8709059
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author Stewart, Kevin
Wagg, Adrian
Kinirons, Mark
author_facet Stewart, Kevin
Wagg, Adrian
Kinirons, Mark
author_sort Stewart, Kevin
collection PubMed
description Case notes of elderly medical patients were surveyed to determine when 'do not resuscitate' (DNR) decisions could legitimately be made without consulting them. Patients were thought to be suitable for exclusion from decisions if morbidity scores indicated that they were unlikely to survive cardiopulmonary resuscitation (CPR) or if they were mentally incompetent. Thirty per cent of all patients were predicted not to survive CPR; another 28% were deemed incompetent. Of those with DNR decisions, 59% were predicted not to survive and a further 24% were incompetent. Discussing resuscitation would have been appropriate with 17% of those with DNR decisions.
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spelling pubmed-54015172019-01-22 When Can Elderly Patients Be Excluded from Discussing Resuscitation? Stewart, Kevin Wagg, Adrian Kinirons, Mark J R Coll Physicians Lond Original Papers Case notes of elderly medical patients were surveyed to determine when 'do not resuscitate' (DNR) decisions could legitimately be made without consulting them. Patients were thought to be suitable for exclusion from decisions if morbidity scores indicated that they were unlikely to survive cardiopulmonary resuscitation (CPR) or if they were mentally incompetent. Thirty per cent of all patients were predicted not to survive CPR; another 28% were deemed incompetent. Of those with DNR decisions, 59% were predicted not to survive and a further 24% were incompetent. Discussing resuscitation would have been appropriate with 17% of those with DNR decisions. Royal College of Physicians of London 1996 /pmc/articles/PMC5401517/ /pubmed/8709059 Text en © Journal of the Royal College of Physicians of London 1996 http://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) , which permits non-commercial use and redistribution provided that the original author and source are credited.
spellingShingle Original Papers
Stewart, Kevin
Wagg, Adrian
Kinirons, Mark
When Can Elderly Patients Be Excluded from Discussing Resuscitation?
title When Can Elderly Patients Be Excluded from Discussing Resuscitation?
title_full When Can Elderly Patients Be Excluded from Discussing Resuscitation?
title_fullStr When Can Elderly Patients Be Excluded from Discussing Resuscitation?
title_full_unstemmed When Can Elderly Patients Be Excluded from Discussing Resuscitation?
title_short When Can Elderly Patients Be Excluded from Discussing Resuscitation?
title_sort when can elderly patients be excluded from discussing resuscitation?
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5401517/
https://www.ncbi.nlm.nih.gov/pubmed/8709059
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