Journal
MAYO CLINIC PROCEEDINGS
Volume 83, Issue 10, Pages 1139-1141Publisher
ELSEVIER SCIENCE INC
DOI: 10.4065/83.10.1139
Keywords
-
Categories
Funding
- National Center for Research Resources
- National Institutes of Health
- National Institutes of Health Roadmap for Medical Research [KL2 RR 024136]
Ask authors/readers for more resources
Clinical guidance Is deficient regarding deactivation of implantable card loverter-defibrillators (ICDs) in patients with terminal illnesses. We hypothesized that many physicians are apprehensive about discussing ICD deactivation with their dying patients. Thus, we conducted an anonymous survey of all the physicians in the Department of Medicine at Unity Health System in Rochester, NY. The survey collected information about the knowledge and preferences of these physicians regarding the medical, ethical, and legal issues Involved in caring for patients with an ICD and terminal illness. Of the 204 surveys distributed, 87 (43%) were returned. Among the physicians who responded, 64 (74%) reported experience caring for a patient with an ICD and terminal illness. Forty physicians (46%) either thought It was illegal or were not sure if it was legal to deactivate an ICD in these circumstances. However, If reassured about the legality of discontinuing ICD therapy, 79 (91%) of these same respondents said that they would be willing to discuss voluntary ICD deactivation with their dying patients. With increased knowledge about managing the withdrawal of this potentially life-prolonging therapy, physicians are likely to become more skilled at caring for dying patients with an ICD.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available