Brief communication: Management of implantable cardioverter-defibrillators in hospice: A nationwide survey.
Brief communication: Management of implantable cardioverter-defibrillators in hospice: A nationwide survey.
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DOI：
10.7326/0003-4819-152-5-201003020-00007
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发表时间：
2010-03-02
影响因子：
39.2
通讯作者：
Kutner JS
中科院分区：
文献类型：
--
作者：
Goldstein N;Carlson M;Livote E;Kutner JS
在接近生命末期的患者中，关于icd停用的交流很少。确定安宁疗护是否接收ICD患者、安宁疗护患者是否受到电击，以及安宁疗护如何管理ICD。横断面调查。随机选取900家临终关怀机构进行调查。共有414家临终关怀医院作出回应。ICD患者的入院频率，患者接受电击的频率，是否存在停用政策和停用频率。97%的临终关怀医院接收患有心脏除颤器的病人。58%的医生报告说，去年曾有病人受到惊吓。只有10%的临终关怀医院有解决临终关怀问题的政策。平均42% （SE 2.9）的icd患者电击功能失活。禁用策略示例作为仅限web的附录提供。这项研究依赖于临终关怀管理人员的知识。临终关怀医院正在接收患有icd的病人，病人在生命的最后时刻感到震惊。确保临终关怀医院有适当的政策来解决失活问题，可以改善对这些设备患者的护理。
Communication about deactivation of ICDs in patients near the end of life is rare. To determine if hospices are admitting ICD patients, if hospice patients are receiving shocks, and how hospices manage ICDs. Cross-sectional survey. Randomly selected hospice facilities 900 hospices were surveyed. A total of 414 hospices responded. Frequency of admission of ICD patients, frequency of patients receiving shocks, existence of deactivation policies, and frequency of deactivation. 97% of hospices admit patients with ICDs. 58% reported that in the last year a patient had been shocked. Only 10% of hospices had a policy which addressed deactivation. On average, 42% (SE 2.9) of patients with ICDs have the shocking function deactivated. A sample deactivation policy is available as a web-only appendix. The study relied on the knowledge of hospice administrators. Hospices are admitting patients with ICDs, and patients are being shocked at the end of life. Assuring that hospices have policies in place to address deactivation may improve the care for patients with these devices.
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DOI：
10.1097/01.nhh.0000326324.09466.97
发表时间：
2008-07-01
期刊：
Home healthcare nurse
影响因子：
--
作者：
Kirk, Timothy W
通讯作者：
Kirk, Timothy W
影响因子：
8.8
作者：
GROEGER, JS;GUNTUPALLI, KK;KAYE, W
通讯作者：
KAYE, W
影响因子：
39.2
作者：
Goldstein, NE;Lampert, R;Krumholz, HM
通讯作者：
Krumholz, HM
影响因子：
120.7
作者：
Angus, DC;Kelley, MA;Popovich, J
通讯作者：
Popovich, J
影响因子：
5.7
作者：
Sears, SF;Conti, JB
通讯作者：
Conti, JB