| Experiences of sudden cardiac arrest survivors regarding prognostication and advance care planning. | |
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MedLine Citation:
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PMID: 20435392 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We sought to better understand SCA survivors' beliefs about complex issues that arise in the immediate post-arrest period and explore advance care planning. Specifically, we wished to explore four themes: (1) patient and family perception of medical providers' prognostication in the immediate post-arrest phase; (2) patient definitions of death; (3) use of advance directives (ADs); and (4) perceptions of health and organ donation. METHODS: We conducted a qualitative study of adult arrest survivors using semi-structured telephone interviews. Participants were recruited from a nonprofit national organization for SCA. RESULTS: Nine of 11 subjects contacted completed the survey. In the immediate post-arrest phase, subjects believed that medical professionals made errors in giving poor prognosis early in the course of resuscitation. While some subjects felt they had experienced "death," some subjects felt the term "death" was an inappropriate term to describe their experience. The majority of the subjects did not have an AD prior to their SCA and no subjects reported having a conversation about ADs with their medical team. While the majority of subjects classified their health as "very good" or "excellent," few subjects were registered organ donors, citing comorbidities and skepticism about future resuscitative efforts as rationale. CONCLUSIONS: Our study elucidated the attitudes and experiences of SCA survivors. Variability in prognostication timing and inconsistency in describing SCA can complicate discussions between the medical team and families. AD and organ donation discussions may help to provide sensitive care concordant with a patient's wishes. |
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Authors:
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Bonnie Lau; James N Kirkpatrick; Raina M Merchant; Sarah M Perman; Benjamin S Abella; David F Gaieski; Lance B Becker; Chris Chiames; Angelique M Reitsma |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-01 |
Journal Detail:
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Title: Resuscitation Volume: 81 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2010-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 982-6 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, United States. Bonnie.Lau@uphs.upenn.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Advance Care Planning / organization & administration* Advance Directives* Aged Cardiopulmonary Resuscitation / standards* Female Heart Arrest / mortality, therapy* Humans Male Middle Aged Prognosis Quality Assurance, Health Care / methods* Questionnaires Retrospective Studies Survival Rate / trends United States / epidemiology Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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