Abstract:
BACKGROUND AND OBJECTIVE:Increased medical and technical knowledge has saved the lives of more patients than was possible a few decades ago. This has also raised many ethical questions. It is now regarded to be justifiable to limit treatment for some terminally ill patients because certain treatment options are not felt to be in the patient's best interest. At The Reykjavik Hospital guidelines regarding the limitation of treatment were instituted in 1992. This study was undertaken to find out how these guidelines were implemented, how often treatment was limited, what reasons were given and how the documentation was carried out. MATERIAL AND METHODS:Included were all patients in the intensive care unit for whom treatment was limited in the year 1993. When the decision was made to limit treatment a questionnaire was filled out. Information was recorded from this and the medical record. RESULTS:There were 606 patients admitted to the intensive care unit in 1993. Decisions to limit treatment were made for 25 patients (4%). The mean age was 67.6 years. The reasons for limiting treatment were neurological deficit in 15 patients, multiple organ failure in seven patients and circulatory failure in three patients. The decision to limit treatment was made most frequently by the patient's primary hospital physician after consultation with the intensive care physician on call and the patient's relatives. Twenty-two of the patients were unconscious when the decision to limit treatment was made. Twenty-one died in the intensive care unit and four were discharged to a general patient ward. DISCUSSION:Comparing our findings with those of similar studies in other countries it was found that the decision to limit care in our institution was made less frequently and, if made occurred later in the course of the patient's care. The documentation was considered to be less than optimal in some cases.
journal_name
Laeknabladidjournal_title
Laeknabladidauthors
Sveinsdottir EG,Jonsson OTsubject
Has Abstractpub_date
1997-06-01 00:00:00pages
383-8issue
6eissn
0023-7213issn
1670-4959journal_volume
83pub_type
杂志文章相关文献
Laeknabladid文献大全abstract:OBJECTIVE:To evaluate the medical management and cardiovascular (CV) risk profile of patients with hypertension in general practice in Iceland. METHODS:All patients with the diagnosis of hypertension at the primary health care center Solvangur, providing services for 23.066 inhabitants, made up the study group. Medica...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To assess the diagnostic yield of fiberoptic bronchoscopy in patients with a variety of radiographic findings suspected of malignancy. MATERIAL AND METHODS:The study group was composed of all patients who underwent bronchoscopy in our hospital over a seven year period (1986-1993) where cytologic samples were...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To determine the size and main medical and social characteristics of the group of individuals receiving disability benefits in Iceland in December 2002 and compare the results with figures from 1996. MATERIAL AND METHODS:The study includes all those receiving disability benefits on December 1st 2002 and Dece...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract:INTRODUCTION:The treatment of childhood leukemia has improved substantially over the last decades and now 65-75% of the patients recover. With increasing number of survivors it is important to know the long-term and late effects of leukemia and leukaemia treatment. PATIENTS:Of the 31 children diagnosed with leukemia i...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Chronic non-communicable diseases (NCDs) are the cause of 86% of all deaths in the EU and 65% of deaths worldwide. A third of these deaths occur before the age of sixty years. The NCDs affect 40% of the adult population of the EU and two thirds of the population reaching retirement age suffers from two or more NCDs. T...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2012.11.462
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:The incidence and types of central nervous system (CNS) defects diagnosed in fetuses and newborns over a 20-year period, 1972-1991, were investigated. Concurrently the effect of prenatal ultrasound screening on the rates of delivered babies with neural tube defects were evaluated. MATERIAL AND METHOD:All CNS...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract:UNLABELLED:Cerebral arteriovenous malformations (AVMs) are uncommon but can cause intracerebral hemorrhage with grave disability or death. AVMs can even cause focal neurological symptoms, seizures and headache. The treatment of AVMs is complex. The most common treatment forms are microsurgery, stereotactic radiotherapy...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2016.09.96
更新日期:2016-09-01 00:00:00
abstract::A case study of crossed aphasia is presented. A 60-year-old right-handed individual suffered stroke in the right hemisphere leaving him with Broca's aphasia and severe verbal apraxia. A CT scan 3 days after hospitalization showed a new frontotemporal infarct in the right hemisphere, insula and frontal portion of the s...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:There is limited information on occupational injuries among Icelandic farmers. It has been suggested that they are common. This is thought to be in part because of the unique work environment of farmers. The aims of the study were to study occupational accidents among farmers and their effects on absence fro...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2009-12-01 00:00:00
abstract::In Iceland, about 770 strokes can be estimated to occur annually. Until recently no treatment had been shown to be effective for acute and subacute strokes. This may have led to therapeutical nihilism and inconsistency in treatment. In 1995, however, t-PA was shown to improve functional outcome when given within three...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract:INTRODUCTION:Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system which affects young people, especially women. The aim of the study was to examine the disease profile of MS during pregnancy and postpartum as well as pregnancy outcomes in women with MS compared to a control group. Suc...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2020.12.612
更新日期:2020-01-01 00:00:00
abstract::Embryonic stem cells are, as the name indicates, isolated from embryos. They are pluripotent cells which can be maintained undifferentiated or induced to differentiate into any cell type of the body. In 1998 the first isolation of human embryonic stem cells was successful and they became an interesting source for stem...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2015.12.56
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To describe the changes in the epidemiology of acute epiglottitis in Iceland from 1983-2005. METHODS:All patients with discharge diagnosis of epiglottitis during the study years were identified and diagnosis confirmed by chart review. Main outcome measures were age, gender, month/year of diagnosis, microbiol...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2010.06.300
更新日期:2010-06-01 00:00:00
abstract::Those elderly living in institutions have multiple social, health and mental problems, in addition to loss of function. The Resident Assessment Instrument assesses the individual in detail and his caring needs. Resident Assessment Protocols come with the instrument and a handbook that describes how to evaluate specifi...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:In the mid twentieth century gastric cancer was the most common type of cancer in Iceland. In recent decades, however, the incidence rate of gastric cancer has decreased markedly and currently only represents 2-3% of cancer cases. The Laurén classification system classifies adenocarcinoma into two types, int...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2016.03.70
更新日期:2016-03-01 00:00:00
abstract::This article discusses endovascular thrombectomy in acute ischemic stroke. This treatment is vascular medicine's most significant leap in years. This treatment is complicated, and various technical aspects are discussed. Close cooperation is required between different specialties since patient selection for treatment ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2018.01.169
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:This study was part of a geographically defined national study on survival, health, development, and longterm outcome of extremely low birthweight infants (ELBW; birthweight < 1000g) in Iceland focusing on development and neurodevelopmental measures in comparison to a reference group. METHODS:All 35 ELBW lon...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract::We describe a case of right seminal vesicle cyst with ipsilateral renal agenesis in a 25 year old male. The cyst caused severe pain syndrome with progressive perineal pain and pain on defecation and ejaculation. The cyst was surgically removed and the patient became asymtomatic. ...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2010.10.320
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:To evaluate retrospectively the results of macular hole surgery in Iceland 1996-2002. MATERIAL AND METHODS:25 patients underwent macular hole surgery in this time period. Data was obtained from hospital records of all those patients. Best corrected vision vas measured before and after surgery. The staging of...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::Eight of ten strokes are due to cerebral ischemia, two from cerebal hemorrhage. Stroke is the most common cause of disability, the second commonest cause of dementia and the fourth commonest cause of death in the developed world. The incidence of stroke is 150-200/100.000 individuals/ year. One of every seven individu...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:10.17992/lbl.2014.05.543
更新日期:2014-05-01 00:00:00
abstract::Renal Cell Carcinoma (RCC) is by far the most common malignant tumor of the kidney. It is a disease with many faces, known for its clinical diversity and often unpredictable behavior. Less is known about its etiology and risk factors than for most other human cancers. Mortality-to-incidence ratio is higher compared to...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:The goal of the study was to evaluate the effect and safety of CSII treatment in individuals 18 years and older with type 1 diabetes mellitus in Iceland. METHODS:The research is retrospective. We gathered information from patient data of 40 individuals, age 19-57 years who had been treated with CSII in Icela...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2011.05.367
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:To determine changes in the prevalence of disability pension in Iceland and to describe the distribution of those receiving disability pension according to gender, age and main diagnoses between the years 1976 and 1996. MATERIAL AND METHODS:The study includes all those receiving disability pension on the 1st...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract::IAim The incidence of hepatitis A (HAV) in Iceland is low with about one case per year in the last decades. Since 2016, there has been an ongoing outbreak of HAV in men who have sex with men (MSM). The aim of this study was to inves-tigate whether cases diagnosed in Iceland during 2017 had any link to the HAV outbreak...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2018.06.188
更新日期:2018-01-01 00:00:00
abstract:UNLABELLED:Sexually transmitted Chlamydia infection is the most common venereal disease in Iceland. Although considerable information is available on the epidemiology of these infections, the true prevalence of C. trachomatis infections in Iceland is unknown because all the studies have been conducted on selected popul...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::In 1958 Caroli described a rare disease with multifocal, segmental and saccular dilation of the large intrahepatic bile ducts which causes stagnation of bile and formation of bile sludge and stones. This results in recurrent abdominal pain, cholangitis and hepatic abscesses. The diagnosis is confirmed with endoscopic ...
journal_title:Laeknabladid
pub_type: 杂志文章,评审
doi:
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Viral hepatitis B and C are a major health problem worldwide. The prevalence of these diseases varies throughout the world. In Iceland, the incidence of hepatitis B and C has increased in recent years. At the same time, the number of immigrants from countries where viral hepatitis is endemic, has also increa...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:To investigate long-term complications and survival following aortic valve replacement (AVR) in patients with aortic stenosis (AS) in Iceland. MATERIAL AND METHODS:Included were 156 patients (average age 71.7 yrs, 64.7% males) that underwent AVR for AS at Landspitali between 2002 and 2006. A mechanical prost...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2011.11.395
更新日期:2011-11-01 00:00:00
abstract::Enuresis is defined as uncontrolled voiding during day or night after normal control is expected. It is a common disorder, which can be divided into primary and secondary. We looked at the health files from children born between 1986-1988, written when they started school. There were 62 children which were said to hav...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::Fulfilling individual energy and nutrient requirements is of great importance for athletes to support overall health and well-being, training adaptation, recovery and injury prevention. Energy availability is the amount of energy left over and available for bodily functions after the energy expended for training is su...
journal_title:Laeknabladid
pub_type: 杂志文章
doi:10.17992/lbl.2020.09.596
更新日期:2020-09-01 00:00:00