What's in a Do-Not-Resuscitate Order? Understanding the Impact on Pre-arrest Life Support and Factors Influencing Misconceptions.
What's in a Do-Not-Resuscitate Order? Understanding the Impact on Pre-arrest Life Support and Factors Influencing Misconceptions.
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不复苏令包含哪些内容？
DOI：
10.1007/s11606-019-05431-7
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发表时间：
2020
影响因子：
5.7
通讯作者：
Vergo,MaxwellT
中科院分区：
文献类型：
--
作者：
Charoonratana,VictoriaT;Stewart,Talia;Zhang,Runzhi;Li,Zhigang;DesBiens,MarthaT;Slogic,Scott;Vergo,MaxwellT
方法他的机构审查委员会批准的研究是在新英格兰北部一个拥有396张床位的农村学术医疗中心对卫生保健专业人员进行的单时间点横断面调查设计。向医疗保健专业人员发送了一封机构电子邮件，其中包含一项自愿和匿名的调查，以收集人口统计信息，测试DNR订单意味着什么的事实知识，并将这些知识应用于临床小插曲。这些小插曲评估了临床恶化的DNR患者使用维持生命治疗(LST)的情况，包括转移到重症监护病房(ICU)、抗生素、血管升压药、输液、透析、同步心脏复律、无创正压通气和插管。
METHODSThis institutional review board-approved study was a single time-point, cross-sectional survey design of health care professionals at a 396-bed rural academic medical center in northern New England. Health care professionals were sent an institutional email with a voluntary and anonymous survey to collect demographic information, test factual knowledge of what a DNR order means, and apply this knowledge to clinical vignettes. The vignettes assessed the use of life-sustaining treatments (LSTs) in clinically deteriorating patients with a DNR order, including transfer to the intensive care unit (ICU), antibiotics, vasopressors, transfusions, dialysis, synchronized cardioversion, non-invasive positive pressure ventilation, and intubation.