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Withholding or Withdrawing of Life-Sustaining Therapy in Older Adults (≥80 Years) Admitted to the Intensive Care Unit.
Posted Date: 7/17/2018 3:22:00 PM
Issue: Critical Care Medicine - July 30, 2018 - Vol. 25 - No. 5
Author(s): Thomas Metkus, MD
In a large, geographically diverse cohort, approximately 27.2% of patients aged ≥80 years ultimately have some limitation placed on life support in the ICU.
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Survival, Healthcare Utilization, and End-of-life Care Among Older Adults With Malignancy-Associated Bowel Obstruction: Comparative Study of Surgery, Venting Gastrostomy, or Medical Management.
Posted Date: 7/10/2018 3:56:00 AM
Issue: General Surgery - July 30, 2018 - Vol. 47 - No. 11
Author(s): Raminder Nirula, MD, MPH
Treatment of malignant bowel obstruction with venting gastrostomy tube has been found to be associated with more hospice, less ICU care, and fewer deaths in acute care hospitals.
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Time to Awakening After Cardiac Arrest and the Association With Target Temperature Management.
Posted Date: 6/27/2018 8:57:00 PM
Issue: Cardiology - June 30, 2018 - Vol. 45 - No. 6
Author(s): Thomas Metkus, MD
Many patients treated with targeted temperature management for cardiac arrest are likely to have late awakening after 5 days of treatment.
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Post-Operative Stereotactic Radiosurgery Versus Observation for Completely Resected Brain Metastases: A Single-Centre, Randomised, Controlled, Phase 3 Trial.
Posted Date: 5/15/2018 7:15:00 PM
Issue: Neurosurgery - May 30, 2018 - Vol. 19 - No. 3
Author(s): Jonathan J. Beitler, MD, MBA, FACR, FASTRO

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Physician Approaches to Conflict With Families Surrounding End-of-Life Decision-Making in the ICU: A Qualitative Study.
Posted Date: 4/11/2018 7:00:00 PM
Issue: Neurosurgery - April 30, 2018 - Vol. 19 - No. 2
Author(s): Jacqueline M. Kruser, MD

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Post-Operative Stereotactic Radiosurgery Versus Observation for Completely Resected Brain Metastases: A Single-Centre, Randomised, Controlled, Phase 3 Trial.
Posted Date: 3/30/2018 8:02:00 PM
Issue: Cancer Management - April 30, 2018 - Vol. 47 - No. 10
Author(s): Jonathan J. Beitler, MD, MBA, FACR, FASTRO

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Association of Racial Differences With End-of-Life Care Quality in the United States.
Posted Date: 3/23/2018 7:22:00 PM
Issue: Hospital Medicine - March 30, 2018 - Vol. 16 - No. 1
Author(s): Melissa Mattison, MD
There are no significant racial differences in quality of care at the end of life in the United States; there is opportunity to improve care for all patients at the end of life.
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Predictors of Posthospital Transitions of Care in Patients With Advanced Cancer.
Posted Date: 2/13/2018 6:20:00 PM
Issue: Cancer Management - February 28, 2018 - Vol. 47 - No. 7
Author(s): Alan B. Grosbach, MD
Older cancer patients, those who are mobility impaired, and those who live alone are more likely to be discharged from hospital to postacute care facilities where their symptom burdens are less well addressed.
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Effect of an Indwelling Pleural Catheter vs Talc Pleurodesis on Hospitalization Days in Patients With Malignant Pleural Effusion: The AMPLE Randomized Clinical Trial.
Posted Date: 1/22/2018 6:30:00 PM
Issue: Internal Medicine - January 30, 2018 - Vol. 55 - No. 10
Author(s): Elaine Sachter, MD
For patients with malignant pleural effusions, an indwelling pleural catheter, compared to talc pleurodesis, decreases the number of days spent in the hospital over the remaining lifespan. However, both procedures result in symptomatic improvement.
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Indwelling Pleural Catheters for Patients With Hematologic Malignancies: A 14-Year, Single-Center Experience.
Posted Date: 1/18/2018 5:53:00 PM
Issue: Critical Care Medicine - January 30, 2018 - Vol. 24 - No. 10
Author(s): Thomas S. Metkus, MD
Indwelling pleural catheters can be used safely for hematologic malignancies.
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Physician Approaches to Conflict With Families Surrounding End-of-Life Decision-Making in the ICU: A Qualitative Study.
Posted Date: 1/18/2018 5:53:00 PM
Issue: Critical Care Medicine - January 30, 2018 - Vol. 24 - No. 10
Author(s): Jacqueline M. Kruser, MD

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Effect of Lorazepam With Haloperidol vs Haloperidol Alone on Agitated Delirium in Patients With Advanced Cancer Receiving Palliative Care: A Randomized Clinical Trial.
Posted Date: 11/30/2017 4:25:00 PM
Issue: Hospital Medicine - November 30, 2017 - Vol. 15 - No. 7
Author(s): Melissa Mattison, MD

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The Voice of Surrogate Decision-Makers: Family Responses to Prognostic Information in Chronic Critical Illness.
Posted Date: 11/29/2017 4:23:00 PM
Issue: Critical Care Medicine - November 30, 2017 - Vol. 24 - No. 8
Author(s): Thomas S. Metkus, MD
In the study by Nelson et al, for patients with chronic critical illness, 6 themes are present in family responses to prognostic meetings, and >90% of meetings contain ≥3 of these themes.
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Association Between Immigrant Status and End-of-Life Care in Ontario, Canada.
Posted Date: 11/21/2017 2:00:00 PM
Issue: Internal Medicine - November 30, 2017 - Vol. 55 - No. 7
Author(s): Cameron Baston, MD

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Efficacy of Oral Risperidone, Haloperidol, or Placebo for Symptoms of Delirium Among Patients in Palliative Care: A Randomized Clinical Trial.
Posted Date: 11/13/2017 5:52:00 PM
Issue: Family Practice - November 30, 2017 - Vol. 46 - No. 11
Author(s): Susan E. Merel, MD
Patients with delirium near the end of life who are treated with antipsychotics have worse delirium symptoms and severity as compared to those given placebo.
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Quantifying the Mortality Impact of Do-Not-Resuscitate Orders in the ICU.
Posted Date: 11/3/2017 8:48:00 PM
Issue: Neurosurgery - November 30, 2017 - Vol. 18 - No. 8
Author(s): Matthew P. Schreiber, MD, MHS, FCCP

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Estimating 1-Year Mortality for High-Risk Primary Care Patients Using the “Surprise” Question.
Posted Date: 8/29/2017 5:52:00 PM
Issue: Hospital Medicine - August 30, 2017 - Vol. 15 - No. 4
Author(s): Patrick Rendon, MD

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The Repetition of Behavioral Assessments in Diagnosis of Disorders of Consciousness.
Posted Date: 8/28/2017 2:26:00 PM
Issue: Neurology - August 30, 2017 - Vol. 23 - No. 11
Author(s): James Warne Schmidley, MD
Depending on only 1 or 2 assessments when evaluating patients with chronic disorders of consciousness is not sufficient for accurate diagnosis.
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Quantifying the Mortality Impact of Do-Not-Resuscitate Orders in the ICU.
Posted Date: 8/28/2017 2:12:00 PM
Issue: Critical Care Medicine - August 30, 2017 - Vol. 24 - No. 4
Author(s): Matthew P. Schreiber, MD, MHS, FCCP

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Efficacy of Oral Risperidone, Haloperidol, or Placebo for Symptoms of Delirium Among Patients in Palliative Care: A Randomized Clinical TriaL.
Posted Date: 7/27/2017 12:21:00 AM
Issue: Internal Medicine - July 30, 2017 - Vol. 55 - No. 3
Author(s): Susan E. Merel, MD
Patients with delirium near the end of life who are treated with antipsychotics have worse delirium symptoms and severity as compared to those given placebo.
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