Preoperative patient-oriented advance planning of emergency and intensive care treatment--Necessary or imposition? : Questionnaire survey

Der Anaesthesist
K UmgelterE Kochs

Abstract

Traditional advance directives can often not be satisfactorily implemented into patient care; therefore, patient-oriented decision-making prior to scheduled interventions and beyond the actual surgery is of particular importance. Data on inpatient advance care planning (ACP) in Germany are lacking. This proof-of-concept study was carried out to determine the needs of inpatients undergoing surgery for advance preoperative planning of emergency care and to assess potential discomfort caused by such a program. A voluntary and anonymous standardized questionnaire survey was carried out in scheduled surgery inpatients over 50 years old. Data collection was structured in a demographic part and statements dealing with preoperative advance planning of emergency care in hospital evaluated as Likert items. Out of 579 patients (mean age 66 years, 51% male) 43% indicated a basic interest in being informed about advance planning of emergency care individually during the current hospital stay. Desire for patient self-determination represented an independent factor of information needs [p = 0.036, 95% confidence interval (95% CI) 0.027-0.793]. The survey was perceived as a burden by only 7.3% of patients. This perception was independently ass...Continue Reading

References

Aug 1, 1991·Anesthesia and Analgesia·K Shevde, G Panagopoulos
Aug 1, 1986·Archives of Internal Medicine·B LoG Saika
Sep 11, 2004·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Thomas HammerschmidtReiner Leidl
Mar 15, 2006·Archives of Internal Medicine·David I ShalowitzDavid Wendler
Jul 13, 2006·Critical Care : the Official Journal of the Critical Care Forum·Mark Ewanchuk, Peter G Brindley
Aug 23, 2007·Journal of the American Medical Informatics Association : JAMIA·Jessica S Ancker, David Kaufman
May 16, 2008·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Cara L CuiteGraham Colditz
Feb 12, 2009·Journal of Palliative Medicine·Susan E HickmanSusan W Tolle
Mar 25, 2010·BMJ : British Medical Journal·Karen M DeteringWilliam Silvester
Apr 2, 2010·The New England Journal of Medicine·Maria J SilveiraKenneth M Langa
Sep 3, 2011·European Journal of Anaesthesiology·Stefan De HertUNKNOWN Task Force on Preoperative Evaluation of the Adult Noncardiac Surgery Patient of the European Society of Anaesthesiology
Sep 20, 2011·American Journal of Botany·Yuppayao KophimaiChristoph Scheidegger
Mar 7, 2014·Journal of the American Medical Directors Association·Carmen H M HoubenDaisy J A Janssen
May 17, 2014·Der Unfallchirurg·W Mutschler, G Marckmann
Aug 8, 2014·Der Anaesthesist·K UmgelterM Blobner

❮ Previous
Next ❯

Citations

Feb 12, 2017·Intensive Care Medicine·Fabienne GigonBara Ricou
Aug 1, 2018·Das Gesundheitswesen·Mariacarla Gadebusch BondioSusanne Kinnebrock

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.