Patients' perspective on deactivation of the implantable cardioverter-defibrillator near the end of life

Susanne S. Pedersen, Rismy Chaitsing, Tamas Szili-Torok, Luc Jordaens, Dominic A M J Theuns

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé


OriginalsprogEngelsk
TidsskriftAmerican Journal of Cardiology
Vol/bind111
Udgave nummer10
Sider (fra-til)1443-7
Antal sider5
ISSN0002-9149
DOI
StatusUdgivet - 2013

Fingeraftryk

Implantable Defibrillators
Odds Ratio
Databases
Guidelines
Confidence Intervals

Citer dette

Pedersen, Susanne S. ; Chaitsing, Rismy ; Szili-Torok, Tamas ; Jordaens, Luc ; Theuns, Dominic A M J. / Patients' perspective on deactivation of the implantable cardioverter-defibrillator near the end of life. I: American Journal of Cardiology. 2013 ; Bind 111, Nr. 10. s. 1443-7.
@article{066db8f5c85141e79c56d735f0b6458d,
title = "Patients' perspective on deactivation of the implantable cardioverter-defibrillator near the end of life",
abstract = "Recent guidelines have emphasized the importance of discussing the issue of deactivation near the end of life with patients with an implantable cardioverter-defibrillator (ICD). Few studies have examined the patient perspective and patients' wishes. We examined patients' knowledge and wishes for information; and the prevalence and correlates of a favorable attitude toward deactivation. Three cohorts of ICD patients (n = 440) extracted from our institutional database were asked to complete a survey that included a vignette about deactivation near the end of life. Of the 440 patients approached, 294 (67{\%}) completed the survey. Most patients (68{\%}) were aware that it is possible to turn the ICD off, and 95{\%} believed it is important to inform patients about the possibility. Of the patients completing the survey, 84{\%} indicated a choice for or against deactivation. Psychological morbidity was not associated with a response in favor or against deactivation (p >0.05 for all). The wish for a worthy death near the end of life was an independent associate of a favorable attitude toward deactivation (odds ratio 2.14, 95{\%} confidence interval 1.49 to 3.06, p",
keywords = "Arrhythmias, Cardiac, Attitude of Health Personnel, Decision Making, Defibrillators, Implantable, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Compliance, Questionnaires, Retrospective Studies, Terminal Care",
author = "Pedersen, {Susanne S.} and Rismy Chaitsing and Tamas Szili-Torok and Luc Jordaens and Theuns, {Dominic A M J}",
note = "Copyright {\circledC} 2013 Elsevier Inc. All rights reserved.",
year = "2013",
doi = "10.1016/j.amjcard.2013.01.296",
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volume = "111",
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Patients' perspective on deactivation of the implantable cardioverter-defibrillator near the end of life. / Pedersen, Susanne S.; Chaitsing, Rismy; Szili-Torok, Tamas; Jordaens, Luc; Theuns, Dominic A M J.

I: American Journal of Cardiology, Bind 111, Nr. 10, 2013, s. 1443-7.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Patients' perspective on deactivation of the implantable cardioverter-defibrillator near the end of life

AU - Pedersen, Susanne S.

AU - Chaitsing, Rismy

AU - Szili-Torok, Tamas

AU - Jordaens, Luc

AU - Theuns, Dominic A M J

N1 - Copyright © 2013 Elsevier Inc. All rights reserved.

PY - 2013

Y1 - 2013

N2 - Recent guidelines have emphasized the importance of discussing the issue of deactivation near the end of life with patients with an implantable cardioverter-defibrillator (ICD). Few studies have examined the patient perspective and patients' wishes. We examined patients' knowledge and wishes for information; and the prevalence and correlates of a favorable attitude toward deactivation. Three cohorts of ICD patients (n = 440) extracted from our institutional database were asked to complete a survey that included a vignette about deactivation near the end of life. Of the 440 patients approached, 294 (67%) completed the survey. Most patients (68%) were aware that it is possible to turn the ICD off, and 95% believed it is important to inform patients about the possibility. Of the patients completing the survey, 84% indicated a choice for or against deactivation. Psychological morbidity was not associated with a response in favor or against deactivation (p >0.05 for all). The wish for a worthy death near the end of life was an independent associate of a favorable attitude toward deactivation (odds ratio 2.14, 95% confidence interval 1.49 to 3.06, p

AB - Recent guidelines have emphasized the importance of discussing the issue of deactivation near the end of life with patients with an implantable cardioverter-defibrillator (ICD). Few studies have examined the patient perspective and patients' wishes. We examined patients' knowledge and wishes for information; and the prevalence and correlates of a favorable attitude toward deactivation. Three cohorts of ICD patients (n = 440) extracted from our institutional database were asked to complete a survey that included a vignette about deactivation near the end of life. Of the 440 patients approached, 294 (67%) completed the survey. Most patients (68%) were aware that it is possible to turn the ICD off, and 95% believed it is important to inform patients about the possibility. Of the patients completing the survey, 84% indicated a choice for or against deactivation. Psychological morbidity was not associated with a response in favor or against deactivation (p >0.05 for all). The wish for a worthy death near the end of life was an independent associate of a favorable attitude toward deactivation (odds ratio 2.14, 95% confidence interval 1.49 to 3.06, p

KW - Arrhythmias, Cardiac

KW - Attitude of Health Personnel

KW - Decision Making

KW - Defibrillators, Implantable

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Patient Compliance

KW - Questionnaires

KW - Retrospective Studies

KW - Terminal Care

U2 - 10.1016/j.amjcard.2013.01.296

DO - 10.1016/j.amjcard.2013.01.296

M3 - Journal article

VL - 111

SP - 1443

EP - 1447

JO - The American Journal of Cardiology

JF - The American Journal of Cardiology

SN - 0002-9149

IS - 10

ER -