老年患者何时可以不参与关于心肺复苏的讨论？
When can elderly patients be excluded from discussing resuscitation?
作者信息
Stewart K, Wagg A, Kinirons M
机构信息
Newham General Hospital, London.
出版信息
J R Coll Physicians Lond. 1996 Mar-Apr;30(2):133-5.
Case notes of elderly medical patients were surveyed to determine when "do not resuscitate' (DNR) decisions could legitimately be made without consulting them. Patients were thought to be suitable for exclusion from decisions if morbidity scores indicated that they were unlikely to survive cardiopulmonary resuscitation (CPR) or if they were mentally incompetent. Thirty per cent of all patients were predicted not to survive CPR; another 28% were deemed incompetent. Of those with DNR decisions, 59% were predicted not to survive and a further 24% were incompetent. Discussing resuscitation would have been appropriate with 17% of those with DNR decisions.
对老年内科患者的病历进行了调查，以确定在何种情况下可以在不咨询患者的情况下合法地做出“不进行心肺复苏”（DNR）的决定。如果发病率评分表明患者不太可能在心肺复苏（CPR）后存活，或者患者精神不健全，那么这些患者被认为适合被排除在决策之外。预计所有患者中有30%在心肺复苏后无法存活；另有28%被认为无行为能力。在做出DNR决定的患者中，59%预计无法存活，另有24%无行为能力。对于17%做出DNR决定的患者，讨论心肺复苏事宜是合适的。
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