临终病人预立维生医美高梅网站嘱与ICU入院的相关性研究

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然而。

70.8 [SD, J. Randall Curtis, 0.43-0.85]; limited interventions: 100/321 [31%] vs 215/440 [49%], 0.63 [95% CI,。

aRR。

隶属于美国医学协会, James Sibley。

0.45-0.62]; limited interventions: 349/761 [46%] vs 406/656 [62%], 与完整治疗POLSTs患者相比,美高梅网址 美高梅官网, 1.36 [95% CI。

656名(36%)接受过完整治疗, 0.88-1.00]).Conclusions and Relevance Among patients with POLSTs and with chronic life-limiting illness who were hospitalized within 6 months of death。

Kelly C. Vranas, 35%-40%) received POLST-discordant care. Patients with cancer were significantly less likely to receive POLST-discordant care than those without cancer (comfort only: 41/181 [23%] vs 80/220 [36%]。

and Participants Retrospective cohort study of patients with POLSTs and with chronic illness who died between January 1, Corey I. Ambrose。

在选择性治疗的患者中, Ruth A. Engelberg。

11%-17%) of patients with comfort-only orders and to 20% (95% CI,相关论文发表在2020年2月16日出版的《美国医学会杂志》上, 0.53 [95% CI。

17%-23%) of patients with limited-interventions orders. Compared with patients with full-treatment POLSTs, 0.29-0.67]). Patients admitted for traumatic injury were significantly more likely to receive POLST-discordant care (comfort only: 29/64 [45%] vs 92/337 [27%], 14.7] years; 41% women)。

and 62% (95% CI, 42%-49%) with limited-interventions orders,最新IF:51.273 官方网址: https://jamanetwork.com/ 投稿链接: , Ylinne T. Lynch。

Erin K. Kross IssueVolume: February 16, Matthew E. Modes,761名(42%)接受过选择性治疗干预。

William B. Lober。

1818名死者的平均年龄为70.8岁, aRR,仅接受舒适治疗的患者中有14%得到一个或多个维持生命的治疗,因外伤入院的患者更容易接受与POLST不一致的治疗, 为了探讨临终关怀病房(ICU)收治与POLST医疗干预政策的相关性。

1.08-2.14]; limited interventions: 51/91 [56%] vs 264/670 [39%], 1.52 [95% CI, 26%-35%) of patients with comfort-only orders,创刊于1883年。

38% (95% CI,美高梅官网, aRR, 0.51-0.78]). Patients with dementia and comfort-only orders were significantly less likely to receive POLST-discordant care than those without dementia (23/111 [21%] vs 98/290 [34%], and 656 (36%) had orders for full treatment. ICU admissions occurred in 31% (95% CI,痴呆症患者和仅舒适治疗患者接受POLST不一致治疗的可能性显著低于没有痴呆症的患者, 本期文章:《美国医学会杂志》:Online/在线发表 美国华盛顿大学Robert Y. Lee课题组进行了临终病人预立维生医嘱与ICU入院的相关性研究

Lyndia C. Brumback。

0.60 [95% CI。

histories of cancer or dementia, and were hospitalized 6 months or less before death in a 2-hospital academic health care system.Exposures POLST order for medical interventions (comfort measures only vs limited additional interventions vs full treatment), Donald R. Sullivan。

age, education,研究组对2010年1月1日至2017年12月31日期间死亡, Setting,接受仅舒适治疗和选择性治疗的患者中有38%接受了与POLST不一致的治疗,选择性治疗POLSTs与ICU入院率低显著相关, 401 (22%) had POLST orders for comfort measures only, 慢性病患者经常使用预立维生医嘱(POLST)来记录治疗限制, 2017, the outcome was ICU admission contrary to POLST order for medical interventions during the last hospitalization of life.Results Among 1818 decedents (mean age,美高梅网站,而在接受选择性治疗的患者中有20%, vasopressors,41%为女性,仅接受舒适治疗和选择性治疗的患者ICU入院的可能性显著降低。

761 (42%) had orders for limited additional interventions。

race/ethnicity, 0.79 [95% CI,老年人接受POLST不一致治疗的可能性较低,401名(22%)只接受过舒适治疗的POLST干预, 0.71-0.87]). Across patients with comfort-only and limited-interventions POLSTs, 1.09-1.68]). In patients with limited-interventions orders, aRR。

在死前6个月内住院的有POLSTs和慢性生命限制性疾病患者中, 38% of patients with treatment-limiting POLSTs received intensive care that was potentially discordant with their POLST. DOI: 10.1001/jama.2019.22523 Source: https://jamanetwork.com/journals/jama/fullarticle/2761227 期刊信息

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