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Verfasst von:Klein, Anne [VerfasserIn]   i
 Kühner, Christine [VerfasserIn]   i
 Schwarz, Stefan [VerfasserIn]   i
Titel:Attitudes in the general population towards hemi-craniectomy for middle cerebral artery (MCA) infarction
Titelzusatz:a population-based survey
Verf.angabe:Anne Klein, Christine Kuehner, Stefan Schwarz
E-Jahr:2012
Jahr:7 February 2012
Umfang:6 S.
Fussnoten:Gesehen am 08.05.2018
Titel Quelle:Enthalten in: Neurocritical care
Ort Quelle:New York, NY : Springer, 2004
Jahr Quelle:2012
Band/Heft Quelle:16(2012), 3, Seite 456-461
ISSN Quelle:1556-0961
Abstract:Background: Decompressive hemicraniectomy reduces mortality after space-occupying MCA infarction. Data on the general public’s opinion toward interventions that can save lives but leave the survivors impaired are lacking. Methods: In this population-based epidemiological study in a German city, we surveyed 312 adults in a telephone interview. Here, we presented a scenario of a space-occupying MCA infarct. We evaluated probands’ attitude toward decompressive surgery in general, and toward outcome scenarios according to Rankin scale (RS) definitions. Results: 312 persons (157 women, 52 ± 20 years) were interviewed. 58 persons had difficulty comprehending the proposed scenario, most of them being of advanced age (79 ± 5 years). From the remaining 254 responders 5 (2%) persons favoured surgical intervention, 149 (58%) were undecided, and 100 (39%) were opposed to surgery. The number of individuals opting for surgery rose in scenarios with a better outcome: If very severe impairment was anticipated (RS 5), only 3 (1%) persons favored surgery. With severe (RS 4), moderate (RS3), and slight impairment (RS2) the numbers were at 16 (6%), 60 (24%), and 161 (63%), respectively. We found no association with age, sex, religion, education, self-estimated health status, or marital status. Conclusions: Explaining complex medical situations to laypersons poses a major problem, particularly to those of old age. Only a minority favors life-saving medical interventions if survival is associated with deficits of unpredictable degree. The majority of persons does not favor intervention even if only moderate impairment is anticipated. Decompressive surgery may in fact be against the values of many individuals.
DOI:doi:10.1007/s12028-012-9677-1
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1007/s12028-012-9677-1
 Volltext: https://link.springer.com/article/10.1007/s12028-012-9677-1
 DOI: https://doi.org/10.1007/s12028-012-9677-1
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1574278371
Verknüpfungen:→ Zeitschrift

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