Chest
Ethics in Cardiopulmonary MedicineAssociation of Depression and Life-Sustaining Treatment Preferences in Patients With COPD
Section snippets
Recruitment and Enrollment
This study was conducted in Seattle, WA, between July 1999 and June 2002. Methods have been described previously in a report of the quality of communication about end-of-life care.20 Eligibility criteria included age > 18 years, English-speaking, diagnosis of COPD with evidence of airflow obstruction, and prescription for 24-h home oxygen. Exclusion criteria were temporary oxygen use or mental status that precluded participation. Patients were identified through ambulatory pulmonary clinics in
Results
At the two study sites where patients were contacted by clinicians familiar to the patient, 78 eligible patients were identified and 50 patients were enrolled, for a participation rate of 64%. At the two study sites where patients were sent a mailing describing participation and then telephoned by study staff, 217 eligible patients were identified and 68 patients were enrolled, for a participation rate of 31%. Overall, of the 295 eligible patients contacted and asked to participate in a 1-h
Discussion
This study of patients with oxygen-prescribed COPD resulted in three central findings. First, in univariate analysis, older age is associated with a preference against CPR and mechanical ventilation. This result extends the findings of a prior survey13 of elderly outpatients, as well as the SUPPORT study,26 to patients with oxygen-prescribed COPD. In our study, 44% of patients > 65 years old preferred not to receive either CPR or mechanical ventilation or both, a percentage similar to the 42%
References (34)
- et al.
The St. George's Respiratory Questionnaire
Respir Med
(1991) - et al.
The role of health care providers and significant others in evaluating the quality of life of patients with chronic disease: a review
J Clin Epidemiol
(1992) - et al.
Current estimates from the nations health interview survey
(1990) Centers for Disease Control and Prevention
Monthly Vital Stat Rep
(1991)Long term domiciliary oxygen therapy in chronic hypoxic cor pulmonale complicating chronic bronchitis and emphysema
Lancet
(1981)- et al.
Life quality of patients with chronic obstructive pulmonary disease
Arch Intern Med
(1982) - et al.
Chronic obstructive pulmonary disease stage and health-related quality of life
Ann Intern Med
(1997) - et al.
Quality of life in patients with chronic obstructive pulmonary disease and severe hypoxaemia
Thorax
(1996) - et al.
Life quality of patients with chronic obstructive pulmonary disease
Arch Intern Med
(1982) - et al.
Quality of life and its predictors in patients with mild hypoxemia and chronic obstructive pulmonary disease
Arch Intern Med
(1984)
Chronic obstructive pulmonary disease and symptoms related to depression in elderly patients
Psychol Rep
Functional status and well-being in chronic obstructive pulmonary disease with regard to clinical parameters and smoking: a descriptive and comparative study
Thorax
Prevalence of depressive symptoms and depression in patients with severe oxygen-prescribed chronic obstructive pulmonary disease
J Cardiopulm Rehab
Risk of depression in patients with chronic obstructive pulmonary disease and its determinants
Thorax
Perceived quality of life and preferences for life-sustaining treatment in older adults
Arch Intern Med
The last six months of life for patients with congestive heart failure
Am Geriatr Soc
Life-sustaining treatment preferences of hemodialysis patients: implications for advance directives
J Am Soc Neph
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