Resuscitation: how do we decide? A prospective study of physicians' preferences and the clinical course of hospitalized patients. Academic Article uri icon

Overview

abstract

  • Physicians have to address the question of the measures to be employed in the event that a patient's condition deteriorates after admission to the hospital. To identify the information that physicians use in making such decisions, all 604 patients admitted to the medical service during a one-month period were studied. The patient's age and residents' estimates of the patient's long-term prognosis and ability to function were the three primary factors that correlated with intervention preferences. When illness severity, the reason for admission, comorbidity, and poor function were taken into account, mortality and morbidity rates did not differ between patients for whom full vs not-full intervention was favored. Apart from differential rates of admission to critical care units, there were no important differences in the care, course, or mortality of patients for whom less than full intervention was initially favored. Suggestions that physicians should discuss resuscitation with all or most patients who may die are unrealistic. A more prudent strategy is to discuss the issue with patients whose hospital course is marked by a steady deterioration.

publication date

  • March 14, 1986

Research

keywords

  • Attitude of Health Personnel
  • Euthanasia
  • Euthanasia, Passive
  • Hospitalization
  • Patient Selection
  • Resuscitation

Identity

Scopus Document Identifier

  • 0022637803

Digital Object Identifier (DOI)

  • 10.1001/jama.255.10.1316

PubMed ID

  • 3944949

Additional Document Info

volume

  • 255

issue

  • 10