Criterios de médicos tratantes para indicar instalacion de gastrostomia en pacientes con demencia avanzada
Date
2015
Type:
Artículo
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6
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Journal Title
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Volume Title
Publisher
Sociedad Medica de Santiago
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Abstract
BACKGROUND:
Decision making concerning patients with advanced dementia is complicated. The indication of a gastrostomy is among these hard decisions, especially considering that there is no consensus about its real benefit.
AIM:
To explore the criteria used by Chilean physicians to indicate a gastrostomy in patients with advanced dementia.
MATERIAL AND METHODS:
A questionnaire about the decision making to indicate a gastrostomy was delivered to 72 physicians working in public and private hospitals.
RESULTS:
The survey was answered by 43 physicians. Fifty one percent had indicated a gastrostomy to patients with advanced dementia in the last year, 79% believed that gastrostomy reduces the risk of aspiration pneumonia, 50% thought that gastrostomy helps in bed sore healing and 74% believed that gastrostomy improves survival.
CONCLUSIONS:
The majority of physicians who answered the survey think that gastrostomy will improve the health status of patients with advanced dementia.
Description
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Citation
Portales V, María Bernardita. (2015). Criterios de médicos tratantes para indicar instalación de gastrostomía en pacientes con demencia avanzada. Revista médica de Chile, 143(11), 1405-1410
Keywords
Bioethics, Dementia, Gastrostomy