Changing attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study.

Hdl Handle:
http://hdl.handle.net/10147/205359
Title:
Changing attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study.
Authors:
Cotter, P E; Simon, M; Quinn, C; O'Keeffe, S T
Affiliation:
Portiuncula Hospital, Ballinasloe, Co. Galway, Ireland.
Citation:
Changing attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study. 2009, 38 (2):200-5 Age Ageing
Journal:
Age and ageing
Issue Date:
Mar-2009
URI:
http://hdl.handle.net/10147/205359
DOI:
10.1093/ageing/afn291
PubMed ID:
19171950
Additional Links:
http://dx.doi.org/10.1093/ageing/afn291
Abstract:
while it is well established that individual patient preferences regarding cardiopulmonary resuscitation (CPR) may change with time, the stability of population preferences, especially during periods of social and economic change, has received little attention.; to elicit the resuscitation preferences of older Irish inpatients and to compare the results with an identical study conducted 15 years earlier.; one hundred and fifty older medical inpatients awaiting discharge in a university teaching hospital or a district general hospital subjects were asked about resuscitation preferences. Results were compared to those elicited from a hundred subjects in 1992.; most patients (94%) felt it was a good idea for doctors to discuss CPR routinely with patients, compared with 39% in 1992. In their current health, 6% in 2007 and 76% in 1992 would refuse CPR. The independent predictors of refusal of CPR in current health on logistic regression were age and year of assessment. In the final model, those aged 75-84 years [OR 2.77 (95% CI 1.25-6.13), P = 0.02] and 85 years or more [OR 15.19 (4.26-54.15), P < 0.0001] were more likely than those aged 65-74 years (reference group) to refuse CPR. Those questioned in 2007 [OR 0.04 (0.02-0.81), P < 0.0001] were less likely than those questioned in 1992 (reference group) to refuse CPR.; there has been a significant shift in the attitudes of older Irish inpatients over 15 years towards favouring greater patient participation in decision making and an increased desire for resuscitation.
Item Type:
Article
Language:
en
MeSH:
Aged; Aged, 80 and over; Aging; Attitude to Death; Cardiopulmonary Resuscitation; Female; Follow-Up Studies; Humans; Ireland; Male; Patient Satisfaction; Resuscitation Orders; Social Values; Treatment Refusal
ISSN:
1468-2834

Full metadata record

DC FieldValue Language
dc.contributor.authorCotter, P Een
dc.contributor.authorSimon, Men
dc.contributor.authorQuinn, Cen
dc.contributor.authorO'Keeffe, S Ten
dc.date.accessioned2012-01-27T15:41:15Z-
dc.date.available2012-01-27T15:41:15Z-
dc.date.issued2009-03-
dc.identifier.citationChanging attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study. 2009, 38 (2):200-5 Age Ageingen
dc.identifier.issn1468-2834-
dc.identifier.pmid19171950-
dc.identifier.doi10.1093/ageing/afn291-
dc.identifier.urihttp://hdl.handle.net/10147/205359-
dc.description.abstractwhile it is well established that individual patient preferences regarding cardiopulmonary resuscitation (CPR) may change with time, the stability of population preferences, especially during periods of social and economic change, has received little attention.-
dc.description.abstractto elicit the resuscitation preferences of older Irish inpatients and to compare the results with an identical study conducted 15 years earlier.-
dc.description.abstractone hundred and fifty older medical inpatients awaiting discharge in a university teaching hospital or a district general hospital subjects were asked about resuscitation preferences. Results were compared to those elicited from a hundred subjects in 1992.-
dc.description.abstractmost patients (94%) felt it was a good idea for doctors to discuss CPR routinely with patients, compared with 39% in 1992. In their current health, 6% in 2007 and 76% in 1992 would refuse CPR. The independent predictors of refusal of CPR in current health on logistic regression were age and year of assessment. In the final model, those aged 75-84 years [OR 2.77 (95% CI 1.25-6.13), P = 0.02] and 85 years or more [OR 15.19 (4.26-54.15), P < 0.0001] were more likely than those aged 65-74 years (reference group) to refuse CPR. Those questioned in 2007 [OR 0.04 (0.02-0.81), P < 0.0001] were less likely than those questioned in 1992 (reference group) to refuse CPR.-
dc.description.abstractthere has been a significant shift in the attitudes of older Irish inpatients over 15 years towards favouring greater patient participation in decision making and an increased desire for resuscitation.-
dc.language.isoenen
dc.relation.urlhttp://dx.doi.org/10.1093/ageing/afn291en
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshAging-
dc.subject.meshAttitude to Death-
dc.subject.meshCardiopulmonary Resuscitation-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshPatient Satisfaction-
dc.subject.meshResuscitation Orders-
dc.subject.meshSocial Values-
dc.subject.meshTreatment Refusal-
dc.titleChanging attitudes to cardiopulmonary resuscitation in older people: a 15-year follow-up study.en
dc.typeArticleen
dc.contributor.departmentPortiuncula Hospital, Ballinasloe, Co. Galway, Ireland.en
dc.identifier.journalAge and ageingen
dc.description.provinceConnacht-

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