Dying with acute respiratory failure or multiple organ system failure with sepsis

Article Abstract:

Dying with acute respiratory failure (ARF) or multiple organ system failure (MOSF) with sepsis has been studied at five US teaching hospitals using a prospective study of 1295 adults. It was found that the patients, all of whom died, reported substantial functional impairments and lowered quality of life. Limiting aggressive treatment usually was not undertaken until death was very near. Physical and emotional suffering was substantial for families.

Psychological aspects, Health aspects, Social aspects, Aging, Aged, Elderly, Usage, Laws, regulations and rules, Terminal care, Beliefs, opinions and attitudes, Ethical aspects, Death, Hospitalization, Bacterial infections, Hospital patients, Medical care decision-making authority (Law), Medical care decision making authority (Law), Right to refuse treatment, Right to die, Treatment refusal, CPR (First aid), Cardiopulmonary resuscitation, Hospital care, Resuscitation, Bioethics, Living wills, Bereavement, Ventilators, Ventilators (Medical equipment)

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Are aggressive treatment strategies less cost-effective for older patients? The case of ventilator support and aggressive care for patients with acute respiratory failure

Article Abstract:

This article examines the cost-effectiveness of intensive care and mechanical ventilation for older patients with respiratory failure. Findings indicate that aggressive treatment and ventilator support are cost-effective for patients with positive short-term prognoses regardless of age.

Statistical Data Included, Medical economics, Economic aspects, Geriatrics, Aged patients, Elderly patients, Respiratory therapy

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