Association of depression and life-sustaining treatment preferences in patients with COPD.

Abstract:

STUDY OBJECTIVE:Depressive symptoms and reduced health-related quality of life are common in patients with severe COPD. Therefore, understanding the association between preferences for life-sustaining treatment and depression or quality of life is important in providing care. No prior studies have examined the effects of depression and quality of life on treatment preferences in this population. DESIGN AND PATIENTS:Cross-sectional study of 101 patients with oxygen-prescribed COPD. METHODS:Patients completed the St. George's Respiratory Questionnaire, Center for Epidemiologic Studies-Depression survey, and questions regarding their preferences for mechanical ventilation and cardiopulmonary resuscitation if needed to sustain life. RESULTS:Median age was 67.4 years, and median FEV1 was 26.3% predicted. Depression was significantly associated with preferences for resuscitation (50% of depressed patients and 23% of patients without depression refused resuscitation; p = 0.007), but was not associated with preferences for mechanical ventilation. Health-related quality of life was not associated with preferences for either resuscitation or mechanical ventilation. CONCLUSIONS:Clinicians caring for patients with oxygen-prescribed COPD should understand that health-related quality of life does not predict treatment preferences and should not influence clinicians' views of patients' treatment preferences. However, depression does appear to influence patients' treatment decisions for cardiopulmonary resuscitation, and improvement in depressive symptoms should trigger a reassessment of these preferences.

journal_name

Chest

journal_title

Chest

authors

Stapleton RD,Nielsen EL,Engelberg RA,Patrick DL,Curtis JR

doi

10.1378/chest.127.1.328

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

328-34

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)32409-0

journal_volume

127

pub_type

杂志文章

相关文献

CHEST文献大全
  • Loss of caveolin and heme oxygenase expression in severe pulmonary hypertension.

    abstract::Caveolae are cell plasma membrane microdomains implicated in organizing and concentrating many signaling molecules. In the lung, caveolae are in endothelium, smooth muscle, fibroblasts, and pneumocytes. Caveolin is the main structural protein of caveolae. Caveolin 1 is down-regulated in transformed cells and may be a ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.3.696

    authors: Achcar RO,Demura Y,Rai PR,Taraseviciene-Stewart L,Kasper M,Voelkel NF,Cool CD

    更新日期:2006-03-01 00:00:00

  • Ventilator-associated pneumonia: impact of organisms on clinical resolution and medical resources utilization.

    abstract:BACKGROUND:Clinical resolution of ventilator-associated pneumonia (VAP) determines the duration of treatment and mechanical ventilation. The aim of this study was to evaluate the influence of organisms and their susceptibility to treatment on outcomes. METHODS:Prospective observational study in three teaching ICUs. Si...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-2020

    authors: Vidaur L,Planas K,Sierra R,Dimopoulos G,Ramirez A,Lisboa T,Rello J

    更新日期:2008-03-01 00:00:00

  • Diffuse alveolar hemorrhage following alemtuzumab.

    abstract::This study describes an unusual patient with X-linked Alport syndrome (XLAS) in whom diffuse alveolar hemorrhage (DAH) developed as a complication of alemtuzumab therapy following renal transplantation. A 26-year-old man with XLAS underwent retransplantation with a cadaveric renal allograft. He received alemtuzumab th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-2354

    authors: Sachdeva A,Matuschak GM

    更新日期:2008-06-01 00:00:00

  • Prevalence of pulmonary hypertension in limited and diffuse scleroderma.

    abstract:STUDY OBJECTIVES:To characterize the prevalence of undiagnosed pulmonary hypertension in patients with limited and diffuse scleroderma. DESIGN:Prospective cross-sectional study. SETTING:University-based outpatient clinic. PATIENTS:Thirty-four consecutive patients with limited (n = 29) or diffuse (n = 5) scleroderma ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.6.1515

    authors: Battle RW,Davitt MA,Cooper SM,Buckley LM,Leib ES,Beglin PA,Tischler MD

    更新日期:1996-12-01 00:00:00

  • Pulmonary infiltrates in leukemia.

    abstract::We reviewed the inpatient records of 139 adult patients with leukemia to determine the incidence of opportunistic infections in immunocompromised patients and the pattern of roentgenographic involvement of such infections. There were 98 parenchymal infiltrates identified, including 43 episodes of local disease and 55 ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.78.3.468

    authors: Tenholder MF,Hooper RG

    更新日期:1980-09-01 00:00:00

  • Up-regulated membrane and nuclear leukotriene B4 receptors in COPD.

    abstract:STUDY OBJECTIVES:We investigated the role of two leukotriene B4 (LTB4) receptors, BLT1 and peroxisome proliferator-activated receptor (PPAR)-alpha, in conferring the susceptibility to develop COPD in smokers. Proinflammatory LTB4 activities are mediated by BLT1, while the inactivation of LTB4 is promoted by PPARalpha. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.6.1523

    authors: Marian E,Baraldo S,Visentin A,Papi A,Saetta M,Fabbri LM,Maestrelli P

    更新日期:2006-06-01 00:00:00

  • Role for interleukin-6 in COPD-related pulmonary hypertension.

    abstract:BACKGROUND:Pulmonary artery remodeling triggered by alveolar hypoxia is considered the main mechanism of pulmonary hypertension (PH) in COPD patients. We hypothesized that the risk for PH in COPD is increased by an elevation in the proinflammatory cytokines interleukin (IL)-6, monocyte chemoattractant protein-1 (MCP-1)...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2420

    authors: Chaouat A,Savale L,Chouaid C,Tu L,Sztrymf B,Canuet M,Maitre B,Housset B,Brandt C,Le Corvoisier P,Weitzenblum E,Eddahibi S,Adnot S

    更新日期:2009-09-01 00:00:00

  • Impact of blood transfusions on inflammatory mediator release in patients undergoing cardiac surgery.

    abstract:STUDY OBJECTIVES:This study was conducted to investigate whether intraoperative blood transfusions affect the release of proinflammatory mediators in patients undergoing cardiac surgery. Therefore, we measured plasma levels of bactericidal permeability increasing protein (BPI) as a marker of neutrophil activation, inte...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.5.1233

    authors: Fransen E,Maessen J,Dentener M,Senden N,Buurman W

    更新日期:1999-11-01 00:00:00

  • Sympathetic nervous system alterations in sleep apnea. The relative importance of respiratory disturbance, hypoxia, and sleep quality.

    abstract::Numerous alterations in the sympathetic nervous system have been reported in patients with obstructive sleep apnea. It is unclear whether such alterations can be attributed to the respiratory disturbance itself, the resulting hypoxia, or disruption of sleep. We examined urinary norepinephrine levels in 45 individuals ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.3.639

    authors: Dimsdale JE,Coy T,Ancoli-Israel S,Mills P,Clausen J,Ziegler MG

    更新日期:1997-03-01 00:00:00

  • Biochemical response to treatment of bone hyperresorption in chronically critically ill patients.

    abstract:STUDY OBJECTIVE:The chronically critically ill (CCI) are a subgroup of critically ill patients who have survived an acute critical illness but remain profoundly debilitated and ventilator dependent. We have previously shown that CCI patients have a very high prevalence of bone hyperresorption. The objective of this pre...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.3.761

    authors: Nierman DM,Mechanick JI

    更新日期:2000-09-01 00:00:00

  • Concordance between parental and children's reports of parental smoking prompts.

    abstract:STUDY OBJECTIVES:To describe the prevalence of parental prompting to smoke (eg, parent requests that their child light the parent's cigarette in his/her own mouth) in a sample of families, and to assess the agreement between child and parent reports of the prompting behaviors. DESIGN, SETTING, AND PARTICIPANTS:A total...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.2.429

    authors: Laniado-Laborín R,Candelaria JI,Villaseñor A,Woodruff SI,Sallis JF

    更新日期:2004-02-01 00:00:00

  • COPD can mimic the appearance of pneumothorax on thoracic ultrasound.

    abstract:PURPOSES:To determine the diagnostic accuracy of ultrasound in the diagnosis of pneumothorax in patients with COPD with particular regard to false-positive diagnoses. MATERIALS AND METHODS:This was a single-center, prospective, blinded study. Nine patients with pneumothorax, 9 patients with cystic fibrosis, 17 patient...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.3.545

    authors: Slater A,Goodwin M,Anderson KE,Gleeson FV

    更新日期:2006-03-01 00:00:00

  • Underrecognition of preexisting cognitive impairment by physicians in older ICU patients.

    abstract:OBJECTIVES:Cognitive impairment increases with age, as do many serious illnesses requiring intensive care. Little is known, however, about physician recognition of preexisting cognitive impairment in the ICU and which patient factors may play a role in physician recognition. DESIGN:Cross-sectional comparative study. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.6.2267

    authors: Pisani MA,Redlich C,McNicoll L,Ely EW,Inouye SK

    更新日期:2003-12-01 00:00:00

  • Unusual complications after embolization of a pulmonary arteriovenous malformation.

    abstract::A pulmonary arteriovenous malformation was embolized in a patient with hereditary hemorrhagic telangiectasia. Several unusual complications, including early deflation of a detachable balloon, migration of a coil, and development of severe pulmonary hypertension, occurred. Pulmonary hypertension was attributed to a coe...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.5.1401

    authors: Haitjema T,ten Berg JM,Overtoom TT,Ernst JM,Westermann CJ

    更新日期:1996-05-01 00:00:00

  • Coffee drinking and prevalence of bronchial asthma.

    abstract::The relationship between coffee consumption and the prevalence of bronchial asthma has been evaluated using data from the 1983 Italian National Health Survey, based on 72,284 individuals aged over 15 years randomly selected within strata of geographic area, size of the place of residence and of the household in order ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.2.386

    authors: Pagano R,Negri E,Decarli A,La Vecchia C

    更新日期:1988-08-01 00:00:00

  • AIDS, public policy and biomedical research.

    abstract::The current epidemic of acquired immune deficiency syndrome (AIDS) raises numerous public policy concerns for the medical community. The issues can be divided into two groups. Those concerns which require both immediate action and results are referred to as short-term issues. Those issues whose results will not be for...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.85.3.416

    authors: Panem S

    更新日期:1984-03-01 00:00:00

  • Hemodynamic effects of epoprostenol in patients with systemic sclerosis and pulmonary hypertension.

    abstract:STUDY OBJECTIVES:To determine the cause of pulmonary hypertension (PH) in systemic sclerosis (SSc) patients since PH can occur because of pulmonary arteriopathy, pulmonary parenchymal destruction, and left ventricular cardiac dysfunction. DESIGN AND SETTING:Consecutive case series in a university hospital. PATIENTS:N...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.4.1077

    authors: Strange C,Bolster M,Mazur J,Taylor M,Gossage JR,Silver R

    更新日期:2000-10-01 00:00:00

  • A comparison of the standard 12-lead electrocardiogram to exercise electrode placements.

    abstract::In order to determine the effect of electrode placement and standing on the 12-lead electrocardiogram required prior to exercise testing, 104 male patients with stable coronary heart disease were studied. Electrocardiograms were recorded with two different placements of the arm electrodes commonly used for exercise te...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.85.5.616

    authors: Gamble P,McManus H,Jensen D,Froelicher V

    更新日期:1984-05-01 00:00:00

  • Growth hormone response to growth hormone-releasing hormone is reduced in adult asthmatic patients receiving long-term inhaled corticosteroid treatment.

    abstract:BACKGROUND:Some studies have demonstrated that the function of the growth hormone (GH)-insulin-like growth factor (IGF)-1 axis is significantly impaired in patients with oral corticosteroid (CS)-induced osteoporosis. The aim of study was to investigate the effects of long-term therapy with inhaled CSs (ICSs) on the hyp...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.127.2.515

    authors: Malerba M,Bossoni S,Radaeli A,Mori E,Bonadonna S,Giustina A,Tantucci C

    更新日期:2005-02-01 00:00:00

  • Physiologic benefits of mechanical insufflation-exsufflation in children with neuromuscular diseases.

    abstract:STUDY OBJECTIVES:To analyze the physiologic effects and tolerance of mechanical insufflation-exsufflation (MI-E) by means of mechanical cough assistance (Cough Assist; JH Emerson Company; Cambridge, MA) for children with neuromuscular disease. DESIGN:Prospective clinical trial. SETTING:Physiology laboratory of a pedi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-1615

    authors: Fauroux B,Guillemot N,Aubertin G,Nathan N,Labit A,Clément A,Lofaso F

    更新日期:2008-01-01 00:00:00

  • Only severely limited, premorbid functional status is associated with short- and long-term mortality in patients with pneumonia who are critically ill: a prospective observational study.

    abstract:BACKGROUND:Severe pneumonia requiring ICU admission has not been well characterized with respect to long-term outcomes or predictors thereof. We examined the association between premorbid functional status and mortality in patients with severe pneumonia. METHODS:From 2000 to 2002, a population-based cohort of adults w...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-1054

    authors: Sligl WI,Eurich DT,Marrie TJ,Majumdar SR

    更新日期:2011-01-01 00:00:00

  • High frequency of atopic asthma in a pulmonary clinic population.

    abstract::Seventy-two consecutive adult asthmatic patients seen in the Pulmonary Clinic at Rhode Island Hospital were tested for atopy by prick test with 14 standard aeroallergens and by in vitro total and specific IgE determinations (FAST). A total of 58.3 percent of patients were found to be atopic by these tests. There was a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.6.1336

    authors: Kalliel JN,Goldstein BM,Braman SS,Settipane GA

    更新日期:1989-12-01 00:00:00

  • Sputum cathelicidin, urokinase plasminogen activation system components, and cytokines discriminate cystic fibrosis, COPD, and asthma inflammation.

    abstract:BACKGROUND:Interest in airways inflammatory disease has increasingly focused on innate immunity. We investigated several components of innate immunity in induced sputum of patients with cystic fibrosis (CF), COPD, and asthma, and healthy control subjects. METHODS:Twenty eight patients with mild CF lung disease (age > ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.4.2316

    authors: Xiao W,Hsu YP,Ishizaka A,Kirikae T,Moss RB

    更新日期:2005-10-01 00:00:00

  • Pulmonary Langerhans cell histiocytosis-associated pulmonary hypertension: clinical characteristics and impact of pulmonary arterial hypertension therapies.

    abstract:BACKGROUND:Precapillary pulmonary hypertension (PH) is a complication of pulmonary Langerhans cell histiocytosis (PLCH) associated with increased mortality. However, outcomes and efficacy of pulmonary arterial hypertension (PAH) therapies in patients with PH complicating PLCH(PLCH-PH) remain unknown. METHODS:Consecuti...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-2490

    authors: Le Pavec J,Lorillon G,Jaïs X,Tcherakian C,Feuillet S,Dorfmüller P,Simonneau G,Humbert M,Tazi A

    更新日期:2012-11-01 00:00:00

  • Iatrogenic delirium and coma: a "near miss".

    abstract::A 66-year-old woman was cared for at two referral institutions following a witnessed cardiac arrest in a local emergency department. Despite aggressive initial care, she failed to regain consciousness during a 28-day course. Based on an erroneous neurologic diagnosis of anoxic encephalopathy, pessimism regarding likel...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-0471

    authors: Dunn WF,Adams SC,Adams RW

    更新日期:2008-05-01 00:00:00

  • Stenosis of main bronchi mimicking fixed upper airway obstruction in sarcoidosis.

    abstract::An unusual site and cause of disabling inspiratory and expiratory airflow limitation mimicking fixed upper airway obstruction is reported in two patients with sarcoidosis who had stenosis of almost the entire lengths of both main bronchi. The observed flows were consistent with a cross sectional airway diameter of 3 m...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.88.2.244

    authors: Miller A,Brown LK,Teirstein AS

    更新日期:1985-08-01 00:00:00

  • The effect of the total cumulative epinephrine dose administered during human CPR on hemodynamic, oxygen transport, and utilization variables in the postresuscitation period.

    abstract:BACKGROUND:Studies evaluating the dose of epinephrine required to optimize return of spontaneous circulation and survival after CPR have shown that doses greater than recommended by advanced cardiac life support (ACLS) improve coronary perfusion pressure and short-term resuscitation rates. Since survival has not improv...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.106.5.1499

    authors: Rivers EP,Wortsman J,Rady MY,Blake HC,McGeorge FT,Buderer NM

    更新日期:1994-11-01 00:00:00

  • The effect of pulmonary impairment on all-cause mortality in a national cohort.

    abstract::The association between pulmonary impairment and all-cause mortality was investigated among white subjects in a follow-up study of a large national cohort. Pulmonary function was measured during the National Health and Nutrition Examination Survey (NHANESI) (1971 to 1975); subsequent mortality information was obtained...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.2.536

    authors: Bang KM,Gergen PJ,Kramer R,Cohen B

    更新日期:1993-02-01 00:00:00

  • Pathologic and radiologic differences between idiopathic and collagen vascular disease-related usual interstitial pneumonia.

    abstract:BACKGROUND:Patients with usual interstitial pneumonia (UIP) associated with collagen vascular disease (CVD) have been reported to have a better prognosis than those with idiopathic pulmonary fibrosis with a UIP pattern (IPF/UIP) seen on histology. The aim of this study was to evaluate the pathologic and radiologic diff...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2572

    authors: Song JW,Do KH,Kim MY,Jang SJ,Colby TV,Kim DS

    更新日期:2009-07-01 00:00:00

  • Radionuclide localization of massive pulmonary hemorrhage.

    abstract::Lung scans with technetium sulfur colloid were performed in ten patients with life-threatening hemoptysis and nondiagnostic chest roentgenograms. Localized deposition of radionuclide was demonstrated in five of the six patients who were studied during active bleeding. These abnormalities were confirmed bronchoscopical...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.2.208

    authors: Haponik EF,Rothfeld B,Britt EJ,Bleecker ER

    更新日期:1984-08-01 00:00:00