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

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    Authors
    Cotter, P E
    Simon, M
    Quinn, C
    O'Keeffe, S T
    Affiliation
    Portiuncula Hospital, Ballinasloe, Co. Galway, Ireland.
    Issue Date
    2009-03
    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
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    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
    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
    ISSN
    1468-2834
    ae974a485f413a2113503eed53cd6c53
    10.1093/ageing/afn291
    Scopus Count
    Collections
    Portiuncula Hospital

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