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Clinicians' attitudes regarding withdrawal of left ventricular assist devices in patients approaching the end of life.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Swetz KM;Swetz KM; Cook KE; Ottenberg AL; Chang N; Mueller PS
  • المصدر:
    European journal of heart failure [Eur J Heart Fail] 2013 Nov; Vol. 15 (11), pp. 1262-6. Date of Electronic Publication: 2013 Jun 05.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Wiley Country of Publication: England NLM ID: 100887595 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0844 (Electronic) Linking ISSN: 13889842 NLM ISO Abbreviation: Eur J Heart Fail Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2014- : Chichester : Wiley
      Original Publication: Amsterdam ; New York : Elsevier Science, c1999-
    • الموضوع:
      Attitude of Health Personnel* ; Device Removal* ; Heart-Assist Devices* ; Practice Patterns, Physicians'*; Cardiology/*methods ; Heart Failure/*therapy ; Terminal Care/*methods; Adult ; Aged ; Europe ; Female ; Humans ; Male ; Middle Aged ; North America ; Terminal Care/psychology
    • نبذة مختصرة :
      Aims: Left ventricular assist devices (LVADs) are implanted to support the circulation of patients with advanced heart failure. Patients approaching death, or their surrogates, may request withdrawal of LVAD support. We sought to study the attitudes and practices of heart failure clinicians regarding withdrawal of LVAD support in patients approaching death.
      Methods and Results: Using internet-based and secure methods, we surveyed members of the European Society of Cardiology-Heart Failure Association (ESC-HFA), the International Society for Heart and Lung Transplantation (ISHLT), and the Heart Failure Society of America (HFSA) to assess their attitudes and practices regarding LVAD withdrawal for patients approaching death. The results indicated that clinicians have varied attitudes and practices regarding withdrawing LVAD support in these patients. Furthermore, ESC-HFA clinicians (primarily European) and ISHLT and HFSA clinicians (primarily North American) differed in their attitudes and practices regarding withdrawal of LVAD support, particularly its ethical and legal permissibility. For example, more European clinicians than North American clinicians regarded withdrawing LVAD support as a form of euthanasia.
      Conclusion: Opinions and level of comfort with LVAD withdrawal vary among clinicians. Clinicians should be aware of suggested approaches or guidelines for managing requests for withdrawal of LVAD therapy.
    • References:
      Pacing Clin Electrophysiol. 2008 May;31(5):560-8. (PMID: 18439169)
      N Engl J Med. 2009 Dec 03;361(23):2241-51. (PMID: 19920051)
      JAMA. 2012 May 2;307(17):1805-6. (PMID: 22550194)
      J Heart Lung Transplant. 2013 Feb;32(2):141-56. (PMID: 23352390)
      Mayo Clin Proc. 2010 Sep;85(9):791-7. (PMID: 20584919)
      Ann Intern Med. 2012 Jan 3;156(1 Pt 2):73-104. (PMID: 22213573)
      Heart Rhythm. 2010 Jul;7(7):1008-26. (PMID: 20471915)
      Hosp Pract (1995). 2011 Feb;39(1):78-84. (PMID: 21441762)
      Mayo Clin Proc. 2011 Jun;86(6):493-500. (PMID: 21628614)
      Eur J Heart Fail. 2012 Aug;14(8):803-69. (PMID: 22828712)
      Pediatrics. 2003 Apr;111(4 Pt 1):e299-303. (PMID: 12671142)
      J Gen Intern Med. 2008 Jan;23 Suppl 1:69-72. (PMID: 18095048)
    • Contributed Indexing:
      Keywords: End of life; Mechanical circulatory support; Medical ethics; Palliative care; Ventricular assist device
    • الموضوع:
      Date Created: 20130608 Date Completed: 20140610 Latest Revision: 20211021
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC4023318
    • الرقم المعرف:
      10.1093/eurjhf/hft094
    • الرقم المعرف:
      23744792