End-of-life care in Brazil

Soares, Márcio; Terzi, Renato Giuseppe Giovanni; Piva, Jefferson Pedro

doi:10.1007/s00134-007-0623-1

Cited by 39 publications

(32 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[19]. Additionally, education in medical and nursing schools from many countries (including Brazil) is focused mostly on curative care, and there is little training in palliative medicine [20].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

Fumis¹,

Martins²,

Schettino³

2016

Intensive & Crit Care

View full text Add to dashboard Cite

Background: Having a loved one admitted to the ICU is an extraordinarily stressful event, principally with poor prognosis and when death may occur. Aim:To evaluate the impact of poor prognosis patients admitted in the ICU on their family member's emotional disorders. Design and setting:Prospective study conducted in a 22-bed mixed ICU in a tertiary hospital in Sao Paulo, Brazil. Family members completed the Hospital Anxiety and Depression Scale 48 hours post-admission. Family members answered the HADS, the Impact of Event Scale by phone at 30-days and 90-days after ICU discharge.Results: 95/575 patients admitted at the ICU were defined as poor prognostic patients. Poor prognostic patients required more mechanical ventilation (50.0% vs. 32.9%, p=0.002), tracheotomy (11.6% vs. 5.0%, p=0.014), vasopressors (54.7% vs. 36.8%, p=0.001), remained longer under mechanical ventilation (7 [3-15] vs. 3 [2-6] days, p=0.030) and stay longer at ICU (8 [5-18] vs. 4 [3-8], p<0.001) when compared with non-poor prognosis patients. They also had high mortality at ICU (32.6%), 30-days (60.0%) and 90-days (73.5%) and we also observed an intense emotional suffering among their respective family members during and after ICU discharge. Conclusion:Family members of poor prognosis patients admitted to the ICU were more likely to suffer with symptoms of anxiety, depression and post traumatic distress. Their loved ones needed more aggressive treatments during ICU and had higher mortality in a short time.

show abstract

Section: Discussionmentioning

confidence: 99%

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

Fumis¹,

Martins²,

Schettino³

2016

Intensive & Crit Care

View full text Add to dashboard Cite

show abstract

“…Reported frequencies, mostly originating from medical or mixed ICUs, range from 11 to 60% [5,6,15,[18][19][20][21][22][23][24]. This wide variation is usually explained by differences in factors pertaining to patients' preferences and prognoses, and in others related to physicians' judgements and medical training [25] or religious and cultural beliefs [6,26].…”

Section: Discussionmentioning

confidence: 99%

Pattern of end-of-life decisions in two Tunisian intensive care units: the role of culture and intensivists’ training

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Felizmente, a Resolução nº 1.805/2006 do Conselho Federal de Medicina diminuiu estes constrangimentos, permitindo, aos médicos, a limitação do esforço terapêutico, sem, contudo, deixar de assistir aos pacientes, quanto ao seu conforto físico, emocional e espiritual, como, aliás, foi feito no presente trabalho. Recente publicação sobre cuidados em fi m da vida (EOL Care -End of Life Care) em relação à Legislação Brasileira 39 sugere que, embora a Resolução do Conselho seja normativa, ela não tem força de lei. Esta, só terá força de lei quando o Congresso Nacional aprovar a Reforma do Código Penal.…”

Section: Conclusãounclassified

Condutas de limitação terapêutica em pacientes internados em Unidade de Terapia Intensiva

Bitencourt¹,

Dantas²,

Neves³

et al. 2007

Rev. bras. ter. intensiva

View full text Add to dashboard Cite

End-of-life care in Brazil

Cited by 39 publications

References 13 publications

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

The Impact of Poor Prognostic Patients Admitted to the Intensive Care Unit on Family Member's Emotional Disorders

Pattern of end-of-life decisions in two Tunisian intensive care units: the role of culture and intensivists’ training

Condutas de limitação terapêutica em pacientes internados em Unidade de Terapia Intensiva

Contact Info

Product

Resources

About