作者
Alfred F Connors, Neal V Dawson, Norman A Desbiens, William J Fulkerson, Lee Goldman, William A Knaus, Joanne Lynn, Robert K Oye, Marilyn Bergner, Anne Damiano, Rosemarie Hakim, Donald J Murphy, Joan Teno, Beth Virnig, Douglas P Wagner, Albert W Wu, Yutaka Yasui, Detra K Robinson, Barbara Kreling, Jennie Dulac, Rose Baker, Sam Holayel, Thomas Meeks, Mazen Mustafa, Juan Vegarra, Carlos Alzola, Frank E Harrell, E Francis Cook, Mary Beth Hamel, Lynn Peterson, Russell S Phillips, Joel Tsevat, Lachlan Forrow, Linda Lesky, Roger Davis, Nancy Kressin, Jeanmarie Solzan, Ann Louise Puopolo, Laura Quimby Barrett, Nora Bucko, Deborah Brown, Maureen Burns, Cathy Foskett, Amy Hozid, Carol Keohane, Colleen Martinez, Dorcie McWeeney, Debra Melia, Shelley Otto, Kathy Sheehan, Alice Smith, Lauren Tofias, Bernice Arthur, Carol Collins, Mary Cunnion, Deborah Dyer, Corinne Kulak, Mary Michaels, Maureen O'Keefe, Marian Parker, Lauren Tuchin, Dolly Wax, Diana Weld, Liz Hiltunen, Georgie Marks, Nancy Mazzapica, Cindy Medich, Jane Soukup, Robert M Califf, Anthony N Galanos, Peter Kussin, Lawrence H Muhlbaier, Maria Winchell, Lee Mallatratt, Ella Akin, Lynne Belcher, Elizabeth Buller, Eileen Clair, Laura Drew, Libby Fogelman, Dianna Frye, Beth Fraulo, Debbie Gessner, Jill Hamilton, Kendra Kruse, Dawn Landis, Louise Nobles, Rene Oliverio, Carroll Wheeler, Nancy Banks, Steven Berry, Monie Clayton, Patricia Hartwell, Nan Hubbard, Isabel Kussin, Barbara Norman, Jackie Noveau, Heather Read, Barbara Warren, Jane Castle, Kathy Turner, Rosalie Perdue, Claudia Coulton, C Seth Landefeld, Theodore Speroff, Stuart Youngner, Mary J Kennard, Mary Naccaratto, Mary Jo Roach, Maria Blinkhorn, Cathy Corrigan, Elsie Geric, Laura Haas, Jennifer Ham, Julie Jerdonek, Marilyn Landy, Elaine Marino, Patti Olesen, Sherry Patzke, Linda Repas, Kathy Schneeberger, Carolyn Smith, Colleen Tyler, Mary Zenczak, Helen Anderson, Pat Carolin, Cindy Johnson, Pat Leonard, Judy Leuenberger, Linda Palotta, Millie Warren, Jane Finley, Toni Ross, Gillian Solem, Sue Zronek, Sara Davis, Steven Broste, Peter Layde, Michael Kryda, Douglas J Reding, Humberto J Vidaillet, Marilyn Folien, Patsy Mowery, Barbara E Backus, Debra L Kempf, Jill M Kupfer, Karen E Maassen, Jean M Rohde, Nancy L Wilke, Sharon M Wilke
发表日期
1995/11/22
期刊
Jama
卷号
274
期号
20
页码范围
1591-1598
出版商
American Medical Association
简介
Objectives
—To improve end-of-life decision making and reduce the frequency of a mechanically supported, painful, and prolonged process of dying.
Design
—A 2-year prospective observational study (phase I) with 4301 patients followed by a 2-year controlled clinical trial (phase II) with 4804 patients and their physicians randomized by specialty group to the intervention group (n=2652) or control group (n=2152).
Setting
—Five teaching hospitals in the United States.
Patients
—A total of 9105 adults hospitalized with one or more of nine life-threatening diagnoses; an overall 6-month mortality rate of 47%.
Intervention
—Physicians in the intervention group received estimates of the likelihood of 6-month survival for every day up to 6 months, outcomes of cardiopulmonary resuscitation (CPR), and functional disability at 2 months. A specially trained nurse had multiple contacts with the patient, family, physician, and hospital …
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AF Connors, NV Dawson, NA Desbiens, WJ Fulkerson… - Jama, 1995