Pacientes críticos al final de la vida: estudio multicéntrico en Unidades de Cuidados Intensivos españolas

Estella, Ángel; Martín, M.C.; Hernández, A.; Rubio, Olga; Monzón, J.L.; Cabré, Lluís

doi:10.1016/j.medin.2015.12.006

Cited by 21 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient has control over who should be informed about their situation and is the owner of that information. 34 – 36 In their study, Quenot et al 37 emphasize the importance of ensuring that discussions fully consider the opinions and reflections of all those involved in patient management, as well as obtaining the patient’s opinion, either directly or through advance directive documents, or from the family, who is presumed to know the patient best and can provide information closest to what the patient’s decision would be.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of physicians in Chile toward Do-Not-Attempt-Resuscitation orders: A cross-sectional nation-wide study

Picón-Jaimes,

Lozada-Martinez,

Rahman

et al. 2024

SAGE Open Medicine

View full text Add to dashboard Cite

Objective: Do-Not-Attempt-Resuscitation orders originated in the early 1960s with the establishment of advanced cardiopulmonary resuscitation. These orders aim to limit therapeutic efforts in cases where it may be futile. The decision not to resuscitate a patient is a process that involves a series of ethical, legal, and clinical considerations. Still, it also requires a process in which priority is given to the patients and their autonomy. The objective of this study was to describe the knowledge and attitudes of physicians working in Chile toward Do-Not-Attempt-Resuscitation orders. Methods: A cross-sectional study was conducted, in which a digital questionnaire was sent to physicians from different regions of Chile. Quantitative variables were analyzed using measures of central tendency and dispersion (e.g., median and interquartile range), while qualitative variables were evaluated using frequencies and percentages. Results: Four hundred and thirty-one physicians completed the survey. 85.4% were familiar with the ethical and legal guidelines for cardiopulmonary resuscitation and the rights and duties of the patient. 39.2% believed that patients should have the final decision Do-Not-Attempt-Resuscitation orders, especially if they themselves requested not to be resuscitated. 87.7% mentioned that the Do-Not-Attempt-Resuscitation orders should be reassessed if the patient’s prognosis improves. In addition, it was found that the decision not to resuscitate was not always discussed with the patient or their family. Conclusions: The study revealed an ethical conflict regarding Do-Not-Attempt-Resuscitation orders and their management by Chilean physicians. Therefore, it is necessary to create recommendations and provide training to guide professionals in this process, which should also involve patients and their families.

show abstract