Choices about Cardiopulmonary Resuscitation in the Hospital
- 26 April 1984
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 310 (17), 1089-1093
- https://doi.org/10.1056/nejm198404263101706
Abstract
We studied the extent to which 82 private physicians and 75 house officers talked with hospitalized patients or their families (or both) about whether they would desire cardiopulmonary resuscitation if it became necessary. During the period of study (1981), 154 patients were resuscitated at our university teaching hospital. In 68 per cent of the cases, physicians had formed an opinion about the patient's attitude toward cardiopulmonary resuscitation. However, only 30 (19 per cent) of the patients had discussed resuscitation before the arrest with either their private physician or a house officer (or both); 51 (33 per cent) of the families were consulted. These percentages did not differ significantly according to the underlying disease, whether the patient was on the general wards or in the intensive-care unit, the physician's estimate of the probability of arrest, or the physician's level of training. Even the 151 physicians who believed that patients should participate in decisions about resuscitation, actually discussed the issue with their patients only rarely.Keywords
This publication has 11 references indexed in Scilit:
- Survival after Cardiopulmonary Resuscitation in the HospitalNew England Journal of Medicine, 1983
- The Do-Not-Resuscitate Order in a Teaching HospitalAnnals of Internal Medicine, 1982
- Ethical Considerations in Critical and Terminal Illness in the Elderly*Journal of the American Geriatrics Society, 1981
- Clinical Decisions to Limit TreatmentAnnals of Internal Medicine, 1980
- How Much Sense Is There in an Attempt to Resuscitate an Aged Person?Gerontology, 1978
- ASSESSING DEPRESSIVE SYMPTOMS IN FIVE PSYCHIATRIC POPULATIONS: A VALIDATION STUDYAmerican Journal of Epidemiology, 1977
- Autonomy for Burned Patients When Survival Is UnprecedentedNew England Journal of Medicine, 1977
- Orders Not to ResuscitateNew England Journal of Medicine, 1976
- A Standardized Memory Scale for Clinical UseThe Journal of Psychology, 1945