Navigation Links
Penn study sheds light on end of life management of implanted defibrillators
Date:4/5/2011

New Orleans Each year, more than 100,000 patients in the U.S. undergo implantation of a new implantable cardioverter defibrillator (ICD) for heart rhythm abnormalities. This number constitutes a 20-fold increase over the last 15 years. Current medical guidelines advocate discussion of end of life care of these medical devices, including deactivation, but many patients may not understand their options. Now, researchers at the University of Pennsylvania School of Medicine say that discussions should also address post-mortem donation of ICDs for product improvement or reuse overseas as pacemakers, to help reduce global health disparities.

"ICD patients agree that discussions about ICDs and end of life are important," said senior author James Kirkpatrick, MD, assistant professor of Medicine, Cardiovascular Medicine Division at Penn. "The majority of the patients we polled also support the concept of an ICD-specific advanced directive and post-mortem donation for product improvement or reuse, but have not considered or discussed these topics."

Penn researchers conducted a phone survey of 153 ICD patients concerning advance directives and ICD handling at the end of life. Half of the patients that were questioned said they would like their ICD deactivated in an end of life illness. Most also thought that a do not resuscitate (DNR) order justified ICD deactivation. Although 17 percent reported ever thinking about ICDs in an end of life illness; just two patients had actually addressed the topic in an advance directive arrangement. Only five percent of the patients had ever discussed ICD deactivation directly with their doctor.

Regarding donation of ICDs for reuse or review of the device for improvement purposes, 88 percent said they would donate their device to facilitate product improvement, 87 percent would donate for reuse overseas, and 80 percent for reuse in animals. When asked to choose just one donation option, the majority of patients would donate their devices for reuse in patients overseas. The study results were reported at the 2011 American College of Cardiology meeting in New Orleans.

Dr. Kirkpatrick and colleagues at Penn concluded "Educational initiatives aimed at patients and their families are warranted to help cardiovascular clinicians address end of life issues."


'/>"/>

Contact: Jessica Mikulski
jessica.mikulski@uphs.upenn.edu
215-796-4829
University of Pennsylvania School of Medicine
Source:Eurekalert

Related medicine news :

1. Inner Ear Can Store Recent Sounds, Study Finds
2. Girls in Some Sports Face Raised Risk of Stress Fractures: Study
3. Study shows that modern surgery for scoliosis has good long-term outcomes
4. Compulsive Eaters May Have Food Addiction, Study Finds
5. Cases of Flattened Head Babies on the Rise, Study Finds
6. Evidence Weak to Support Many Medications for Autism: Study
7. Study provides first link between 2 major Parkinsons genes
8. Study Links Smoking, Breast Cancer in Older Women
9. Add Cancer to Health Risks of Diabetes: Study
10. Nationwide utilization of virtual colonoscopy triples, study suggests
11. Minimally Invasive Heart-Valve Procedure Shows Promise: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... ... October 12, 2017 , ... The American College of Medical Informatics (ACMI) ... FACMI, during the Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s ... Morris F. Collen, a pioneer in the field of medical informatics, this prestigious award ...
(Date:10/12/2017)... ANGELES (PRWEB) , ... October 12, 2017 , ... ... Parsa Mohebi Hair Restoration, has recently contributed a medical article to the newly ... on cosmetictown.com. Dr. Mohebi’s article spotlights the hair transplant procedure known as ...
(Date:10/12/2017)... , ... October 12, 2017 , ... On Saturday, October ... treadmill relay – Miles by Moonlight to raise money for the American Heart Association ... more. , Teams will work together to keep their treadmills moving for 5 ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... property taxes a year. In some states—like New York, New Jersey, Massachusetts, Texas, ... many overseas retirement havens have extremely low property-tax rates, which contributes to the ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vodori, ... Flow promotional review platform at the Promotional Review Committee Compliance and Best ... marketers streamline the medical, legal, and regulatory review (MLR) process – which ...
Breaking Medicine News(10 mins):
(Date:9/25/2017)... Sept. 25, 2017  EpiVax, Inc., a leader ... and immune-engineering today announced the launch of EpiVax ... of personalized therapeutic cancer vaccines. EpiVax has provided ... access to enabling technologies to the new precision ... lead EpiVax Oncology as Chief Executive Officer. Gad ...
(Date:9/19/2017)... 2017   ZirMed Inc ., a recognized leader in ... it has been ranked #1 by its users for the ... 2017 User Survey. ZirMed was recognized as the top-ranked end-to-end ... medical centers over 200 beds and holds one of the ... survey history. ...
(Date:9/12/2017)... Sept. 12, 2017  Consumer reviews on the independent review site ... the number one company for hearing aids, ranking it higher than ... brands. ... #1 by Consumers For Hearing Aids ... Hearing is an online store that provides high performance, state-of-the-art, German-engineered ...
Breaking Medicine Technology: