Publications by authors named "Prema R Menon"
Article Synopsis
- Outcomes after CPR are often poor, leading researchers to explore an "informed assent" (IA) approach that simplifies the decision-making process for chronic patients and their families about whether to pursue CPR, focusing on their goals of care.
- The research involved a three-stage approach, starting with focus groups to assess acceptability, followed by a pilot randomized controlled trial that indicated feasibility and some success in changing CPR preferences among participants.
- Initial findings suggest the IA framework is generally accepted but works best with hospitalized patients; ongoing research will further evaluate its effectiveness and applicability in seriously ill older adults.
Background: Many critically ill patients who transfer from rural hospitals to tertiary care centers (TCCs) have poor prognoses, and family members are unable to discuss patient prognosis and goals of care with TCC providers until after transfer.
Aim: Our TCC conducted teleconferences prior to transfer to facilitate early family discussions.
Design/setting: We conducted a retrospective review of these telemedicine family conferences among critically ill patients requested for transfer which occurred from December 2008 to December 2009 at our TCC.
Purpose: To evaluate the outcomes, including long-term survival, after cardiopulmonary resuscitation (CPR) in mechanically ventilated patients.
Methods: We analyzed Medicare data from 1994 to 2005 to identify beneficiaries who underwent in-hospital CPR. We then identified a subgroup receiving CPR one or more days after mechanical ventilation was initiated [defined by ICD-9 procedure code for intubation (96.
Objectives: The objective of this study was to determine the characteristics and survival rates of patients receiving cardiopulmonary resuscitation more than once during a single hospitalization.
Design: We analyzed inpatient Medicare data from 1992 to 2005 identifying beneficiaries 65 years old and older who underwent cardiopulmonary resuscitation more than once during the same hospitalization.
Measurements: We examined patient and hospital characteristics, survival to hospital discharge, factors associated with survival to discharge, median survival, and discharge disposition.