Association of advance care planning with place of death and utilisation of life-sustaining treatments in deceased patients at Taipei City Hospital in Taiwan
Rattachement africain : tw. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Evidence is mixed regarding the impact of advance care planning (ACP) on place of death. This cohort study investigated the effect of ACP programmes on place of death and utilisation of life-sustaining treatments for patients during end-of-life (EOL) care. METHODS: This prospective cohort study identified deceased patients between 2015 and 2016 at Taipei City Hospital. ACP was determined by patients' medical records and defined as a process to discuss patients' preferences with respect to EOL treatments and place of death. Place of death included hospital or home death. Stepwise logistic regression determined the association of ACP with place of death and utilisation of life-sustaining treatments during EOL care. RESULTS: Of the 3196 deceased patients, the overall mean age was 78.6 years, and 46.5% of the subjects had an ACP communication with healthcare providers before death. During the study follow-up period, 166 individuals died at home, including 98 (6.59%) patients with ACP and 68 (3.98%) patients without ACP. After adjusting for sociodemographic factors and comorbidities, patients with ACP were more likely to die at home during EOL care (adjusted OR (AOR)=1.71, 95% CI 1.24 to 2.35). Moreover, patients with ACP were less likely to receive cardiopulmonary resuscitation (AOR 0.36, 95% CI 0.25 to 0.51) as well as intubation and mechanical ventilation support (AOR 0.54, 95% CI 0.44 to 0.67) during the last 3 months of life. CONCLUSION: Patients with ACP were more likely to die at home and less likely to receive life-sustaining treatments during EOL care.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Association of advance care planning with place of death and utilisation of life-sustaining treatments in deceased patients at Taipei City Hospital in Taiwan
- Date Crossref
- 28/10/2020
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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National Yang Ming Chiao Tung University pays non établi dans la noticeUniversité ou école supérieure
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National Taipei University of Nursing and Health Science Department of Health Care Management pays non établi dans la noticeUniversité ou école supérieure
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University of Taipei pays non établi dans la noticeUniversité ou école supérieure
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Taipei Municipal YangMing Hospital pays non établi dans la noticeÉtablissement de santé
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Taipei City Hospital Department of Education and Research pays non établi dans la noticeÉtablissement de santé
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Ministry of Health and Welfare pays non établi dans la noticeOrganisme public
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National Taipei University pays non établi dans la noticeUniversité ou école supérieure
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National Taiwan University Hospital pays non établi dans la noticeÉtablissement de santé
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National Yang-Ming University Institute of Public Health pays non établi dans la noticeUniversité ou école supérieure
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School of Dentistry Department of Dentistry pays non établi dans la noticeUniversité ou école supérieure
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Holistic Mental Health Center pays non établi dans la noticeÉtablissement de santé
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School of Medicine pays non établi dans la noticeUniversité ou école supérieure
National Yang Ming Chiao Tung University, Department of Health Care Management — National Taipei University of Nursing and Health Science et University of Taipei, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.