A survey about the criteria for the indication of a gastrostomy in patients with advanced dementia

dc.creatorPortales, Bernardita
dc.date2017-05-19T03:41:48Z
dc.date2017-05-19T03:41:48Z
dc.date2015
dc.identifierRev Med Chile 2015; 143: 1405-1410
dc.identifierhttp://dx.doi.org/10.4067/S0034-98872015001100005
dc.identifierhttp://hdl.handle.net/11447/1174
dc.descriptionBACKGROUND: Decision making concerning patients with advanced dementia is complicated. The indication of a gastrostomy is among these hard decisions, especially considering that there is no consensus about its real benefit. AIM: To explore the criteria used by Chilean physicians to indicate a gastrostomy in patients with advanced dementia. MATERIAL AND METHODS: A questionnaire about the decision making to indicate a gastrostomy was delivered to 72 physicians working in public and private hospitals. RESULTS: The survey was answered by 43 physicians. Fifty one percent had indicated a gastrostomy to patients with advanced dementia in the last year, 79% believed that gastrostomy reduces the risk of aspiration pneumonia, 50% thought that gastrostomy helps in bed sore healing and 74% believed that gastrostomy improves survival. CONCLUSIONS: The majority of physicians who answered the survey think that gastrostomy will improve the health status of patients with advanced dementia.
dc.format6
dc.formatapplication/pdf
dc.languagespa
dc.publisherSociedad Medica de Santiago
dc.subjectBioethics
dc.subjectDementia
dc.subjectGastrostomy
dc.titleCriterios de medicos tratantes para indicar instalacion de gastrostomia en pacientes con demencia avanzada
dc.titleA survey about the criteria for the indication of a gastrostomy in patients with advanced dementia
dc.typeArtículo


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