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dc.contributor.authorArmstrong, K
dc.contributor.authorRyan, C A
dc.contributor.authorHawkes, C P
dc.contributor.authorJanvier, A
dc.contributor.authorDempsey, E M
dc.date.accessioned2011-07-20T11:34:29Z
dc.date.available2011-07-20T11:34:29Z
dc.date.issued2011-04
dc.identifier.citationLife and death decisions for incompetent patients: determining best interests--the Irish perspective. 2011, 100 (4):519-23 Acta Paediatr.en
dc.identifier.issn1651-2227
dc.identifier.pmid21070357
dc.identifier.doi10.1111/j.1651-2227.2010.02084.x
dc.identifier.urihttp://hdl.handle.net/10147/136382
dc.description.abstractTo determine whether healthcare providers apply the best interest principle equally to different resuscitation decisions.
dc.description.abstractAn anonymous questionnaire was distributed to consultants, trainees in neonatology, paediatrics, obstetrics and 4th medical students. It examined resuscitation scenarios of critically ill patients all needing immediate resuscitation. Outcomes were described including survival and potential long-term sequelae. Respondents were asked whether they would intubate, whether resuscitation was in the patients best interest, would they accept surrogate refusal to initiate resuscitation and in what order they would resuscitate.
dc.description.abstractThe response rate was 74%. The majority would wish resuscitation for all except the 80-year-old. It was in the best interest of the 2-month-old and the 7-year-old to be resuscitated compared to the remaining scenarios (p value <0.05 for each comparison). Approximately one quarter who believed it was in a patient best interests to be resuscitated would nonetheless accept the family refusing resuscitation. Medical students were statistically more likely to advocate resuscitation in each category.
dc.description.abstractThese results suggest resuscitation is not solely related to survival or long-term outcome and the best interest principle is applied differently, more so at the beginning of life.
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21070357en
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAge Factors
dc.subject.meshAged, 80 and over
dc.subject.meshAttitude of Health Personnel
dc.subject.meshChild
dc.subject.meshDecision Making
dc.subject.meshHumans
dc.subject.meshInfant
dc.subject.meshInfant, Newborn
dc.subject.meshInfant, Premature
dc.subject.meshIreland
dc.subject.meshLife Support Care
dc.subject.meshMental Competency
dc.subject.meshMiddle Aged
dc.subject.meshNeonatology
dc.subject.meshObstetrics
dc.subject.meshPediatrics
dc.subject.meshPhysician's Practice Patterns
dc.subject.meshPhysician-Patient Relations
dc.subject.meshResuscitation
dc.subject.meshStudents, Medical
dc.titleLife and death decisions for incompetent patients: determining best interests--the Irish perspective.en
dc.typeArticleen
dc.contributor.departmentDepartment of Neonatology, Cork University Maternity Hospital, Cork, Ireland.en
dc.identifier.journalActa paediatrica (Oslo, Norway : 1992)en
dc.description.provinceMunster
html.description.abstractTo determine whether healthcare providers apply the best interest principle equally to different resuscitation decisions.
html.description.abstractAn anonymous questionnaire was distributed to consultants, trainees in neonatology, paediatrics, obstetrics and 4th medical students. It examined resuscitation scenarios of critically ill patients all needing immediate resuscitation. Outcomes were described including survival and potential long-term sequelae. Respondents were asked whether they would intubate, whether resuscitation was in the patients best interest, would they accept surrogate refusal to initiate resuscitation and in what order they would resuscitate.
html.description.abstractThe response rate was 74%. The majority would wish resuscitation for all except the 80-year-old. It was in the best interest of the 2-month-old and the 7-year-old to be resuscitated compared to the remaining scenarios (p value <0.05 for each comparison). Approximately one quarter who believed it was in a patient best interests to be resuscitated would nonetheless accept the family refusing resuscitation. Medical students were statistically more likely to advocate resuscitation in each category.
html.description.abstractThese results suggest resuscitation is not solely related to survival or long-term outcome and the best interest principle is applied differently, more so at the beginning of life.


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