Prevalence and characteristics of patients in a vegetative state in Dutch nursing homes
Objectives: To establish the prevalence of vegetative state in Dutch nursing homes, describe the patient characteristics, and highlight the possible influence of medical decisions at the end of life. Design: A cross-sectional survey. The vegetative state was defined according to the Multi Society Ta...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2005-10, Vol.76 (10), p.1420-1424 |
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| description | Objectives: To establish the prevalence of vegetative state in Dutch nursing homes, describe the patient characteristics, and highlight the possible influence of medical decisions at the end of life. Design: A cross-sectional survey. The vegetative state was defined according to the Multi Society Task Force on PVS. All Dutch nursing homes were approached to provide data on patients in a vegetative state. In cases of doubt, the researcher discussed the diagnosis with the patient’s physician and, if necessary, examined the patient. Information on patients in a vegetative state in care between 2000 and September 2003 and end of life decisions for them were also recorded. Results: All nursing homes and physicians participated. After assessment of 12 doubtful patients, 32 met the criteria of vegetative state lasting longer than one month, a prevalence of 2/1 000 000. Of these, 30 patients’ data were analysed: age 9–90 years; 73% female; duration of vegetative state 2 months–20 years (26 surviving >1 year, 13 >5 years). Stroke was the commonest cause. Between 2000 and September 2003, there were 76 patients in a vegetative state in care of whom 34 died of complications and nine after withdrawal of artificial nutrition and hydration. Conclusions: The prevalence of vegetative state in Dutch nursing homes has been established for the first time. The figures are lower than suggested in the literature. The study included a heterogeneous group of patients, of which a substantial number survived for many years. The results cannot be explained by a policy of systematically withdrawing artificial nutrition and hydration. |
| doi_str_mv | 10.1136/jnnp.2004.058198 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1739352</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19597227</sourcerecordid><originalsourceid>FETCH-LOGICAL-b557t-f63a99fa1d64a179cb790b8d37de4bffb7752a66996f9bbf486e12c55204cd773</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi1ERZfCnROyhOCCsvgjtuNLJbRAW6ktRQLKzXIce9dL4ix2soJ_j6OsWuCCL2PNPPPOjF4AnmG0xJjyN9sQdkuCULlErMKyegAWuORVQSn69hAsECKkoIihY_A4pS2aXiUfgWPMsZi-C3B7E-1etzYYC3VooNnoqM1go0-DNwn2Du704G0YEvQBari3azvkzN7ClKOdsu_GwWxgGGPyYQ03fWfTE3DkdJvs00M8AV8-vP-8Oi8uP55drN5eFjVjYigcp1pKp3HDS42FNLWQqK4aKhpb1s7VQjCiOZeSO1nXrqy4xcQwRlBpGiHoCTiddXdj3dnG5EWjbtUu-k7HX6rXXv1dCX6j1v1eYUElZSQLvDoIxP7HaNOgOp-MbVsdbD8mhSWTgpBp0ot_wG0_xpCPy1oVJiXCkmYKzZSJfUrRurtVMFKTZ2ryTE2eqdmz3PL8zxPuGw4mZeDlAdDJ6NZFHYxP95zAZUnRdEoxc9k7-_OuruN3xQUVTF1_XakbfHZ7hT5dK5751zNfd9v_r_kbiO290Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781240193</pqid></control><display><type>article</type><title>Prevalence and characteristics of patients in a vegetative state in Dutch nursing homes</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Lavrijsen, J C M ; van den Bosch, J S G ; Koopmans, R T C M ; van Weel, C</creator><creatorcontrib>Lavrijsen, J C M ; van den Bosch, J S G ; Koopmans, R T C M ; van Weel, C</creatorcontrib><description>Objectives: To establish the prevalence of vegetative state in Dutch nursing homes, describe the patient characteristics, and highlight the possible influence of medical decisions at the end of life. Design: A cross-sectional survey. The vegetative state was defined according to the Multi Society Task Force on PVS. All Dutch nursing homes were approached to provide data on patients in a vegetative state. In cases of doubt, the researcher discussed the diagnosis with the patient’s physician and, if necessary, examined the patient. Information on patients in a vegetative state in care between 2000 and September 2003 and end of life decisions for them were also recorded. Results: All nursing homes and physicians participated. After assessment of 12 doubtful patients, 32 met the criteria of vegetative state lasting longer than one month, a prevalence of 2/1 000 000. Of these, 30 patients’ data were analysed: age 9–90 years; 73% female; duration of vegetative state 2 months–20 years (26 surviving >1 year, 13 >5 years). Stroke was the commonest cause. Between 2000 and September 2003, there were 76 patients in a vegetative state in care of whom 34 died of complications and nine after withdrawal of artificial nutrition and hydration. Conclusions: The prevalence of vegetative state in Dutch nursing homes has been established for the first time. The figures are lower than suggested in the literature. The study included a heterogeneous group of patients, of which a substantial number survived for many years. The results cannot be explained by a policy of systematically withdrawing artificial nutrition and hydration.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.2004.058198</identifier><identifier>PMID: 16170089</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Brain damage ; Brain research ; characteristics ; Child ; Comorbidity ; Consciousness ; Convalescence ; Cross-Sectional Studies ; Ethics ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Long term health care ; Male ; Medical sciences ; Middle Aged ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Netherlands ; Neurology ; Nursing care ; Nursing homes ; Nursing Homes - statistics & numerical data ; Patient Discharge - statistics & numerical data ; Patients ; Persistent Vegetative State - epidemiology ; Physicians ; Prevalence ; Questionnaires ; Sleep Disorders, Circadian Rhythm - epidemiology ; Traumas. Diseases due to physical agents ; vegetative state</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2005-10, Vol.76 (10), p.1420-1424</ispartof><rights>Copyright 2005 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>2005 INIST-CNRS</rights><rights>Copyright: 2005 Copyright 2005 Journal of Neurology Neurosurgery and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b557t-f63a99fa1d64a179cb790b8d37de4bffb7752a66996f9bbf486e12c55204cd773</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1739352/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1739352/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17144302$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16170089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lavrijsen, J C M</creatorcontrib><creatorcontrib>van den Bosch, J S G</creatorcontrib><creatorcontrib>Koopmans, R T C M</creatorcontrib><creatorcontrib>van Weel, C</creatorcontrib><title>Prevalence and characteristics of patients in a vegetative state in Dutch nursing homes</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Objectives: To establish the prevalence of vegetative state in Dutch nursing homes, describe the patient characteristics, and highlight the possible influence of medical decisions at the end of life. Design: A cross-sectional survey. The vegetative state was defined according to the Multi Society Task Force on PVS. All Dutch nursing homes were approached to provide data on patients in a vegetative state. In cases of doubt, the researcher discussed the diagnosis with the patient’s physician and, if necessary, examined the patient. Information on patients in a vegetative state in care between 2000 and September 2003 and end of life decisions for them were also recorded. Results: All nursing homes and physicians participated. After assessment of 12 doubtful patients, 32 met the criteria of vegetative state lasting longer than one month, a prevalence of 2/1 000 000. Of these, 30 patients’ data were analysed: age 9–90 years; 73% female; duration of vegetative state 2 months–20 years (26 surviving >1 year, 13 >5 years). Stroke was the commonest cause. Between 2000 and September 2003, there were 76 patients in a vegetative state in care of whom 34 died of complications and nine after withdrawal of artificial nutrition and hydration. Conclusions: The prevalence of vegetative state in Dutch nursing homes has been established for the first time. The figures are lower than suggested in the literature. The study included a heterogeneous group of patients, of which a substantial number survived for many years. The results cannot be explained by a policy of systematically withdrawing artificial nutrition and hydration.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Brain damage</subject><subject>Brain research</subject><subject>characteristics</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Consciousness</subject><subject>Convalescence</subject><subject>Cross-Sectional Studies</subject><subject>Ethics</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Long term health care</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Netherlands</subject><subject>Neurology</subject><subject>Nursing care</subject><subject>Nursing homes</subject><subject>Nursing Homes - statistics & numerical data</subject><subject>Patient Discharge - statistics & numerical data</subject><subject>Patients</subject><subject>Persistent Vegetative State - epidemiology</subject><subject>Physicians</subject><subject>Prevalence</subject><subject>Questionnaires</subject><subject>Sleep Disorders, Circadian Rhythm - epidemiology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>vegetative state</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkU1v1DAQhi1ERZfCnROyhOCCsvgjtuNLJbRAW6ktRQLKzXIce9dL4ix2soJ_j6OsWuCCL2PNPPPOjF4AnmG0xJjyN9sQdkuCULlErMKyegAWuORVQSn69hAsECKkoIihY_A4pS2aXiUfgWPMsZi-C3B7E-1etzYYC3VooNnoqM1go0-DNwn2Du704G0YEvQBari3azvkzN7ClKOdsu_GwWxgGGPyYQ03fWfTE3DkdJvs00M8AV8-vP-8Oi8uP55drN5eFjVjYigcp1pKp3HDS42FNLWQqK4aKhpb1s7VQjCiOZeSO1nXrqy4xcQwRlBpGiHoCTiddXdj3dnG5EWjbtUu-k7HX6rXXv1dCX6j1v1eYUElZSQLvDoIxP7HaNOgOp-MbVsdbD8mhSWTgpBp0ot_wG0_xpCPy1oVJiXCkmYKzZSJfUrRurtVMFKTZ2ryTE2eqdmz3PL8zxPuGw4mZeDlAdDJ6NZFHYxP95zAZUnRdEoxc9k7-_OuruN3xQUVTF1_XakbfHZ7hT5dK5751zNfd9v_r_kbiO290Q</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>Lavrijsen, J C M</creator><creator>van den Bosch, J S G</creator><creator>Koopmans, R T C M</creator><creator>van Weel, C</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>20051001</creationdate><title>Prevalence and characteristics of patients in a vegetative state in Dutch nursing homes</title><author>Lavrijsen, J C M ; van den Bosch, J S G ; Koopmans, R T C M ; van Weel, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b557t-f63a99fa1d64a179cb790b8d37de4bffb7752a66996f9bbf486e12c55204cd773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Brain damage</topic><topic>Brain research</topic><topic>characteristics</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Consciousness</topic><topic>Convalescence</topic><topic>Cross-Sectional Studies</topic><topic>Ethics</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. 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Design: A cross-sectional survey. The vegetative state was defined according to the Multi Society Task Force on PVS. All Dutch nursing homes were approached to provide data on patients in a vegetative state. In cases of doubt, the researcher discussed the diagnosis with the patient’s physician and, if necessary, examined the patient. Information on patients in a vegetative state in care between 2000 and September 2003 and end of life decisions for them were also recorded. Results: All nursing homes and physicians participated. After assessment of 12 doubtful patients, 32 met the criteria of vegetative state lasting longer than one month, a prevalence of 2/1 000 000. Of these, 30 patients’ data were analysed: age 9–90 years; 73% female; duration of vegetative state 2 months–20 years (26 surviving >1 year, 13 >5 years). Stroke was the commonest cause. Between 2000 and September 2003, there were 76 patients in a vegetative state in care of whom 34 died of complications and nine after withdrawal of artificial nutrition and hydration. Conclusions: The prevalence of vegetative state in Dutch nursing homes has been established for the first time. The figures are lower than suggested in the literature. The study included a heterogeneous group of patients, of which a substantial number survived for many years. The results cannot be explained by a policy of systematically withdrawing artificial nutrition and hydration.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>16170089</pmid><doi>10.1136/jnnp.2004.058198</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Brain damage Brain research characteristics Child Comorbidity Consciousness Convalescence Cross-Sectional Studies Ethics Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Long term health care Male Medical sciences Middle Aged Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Netherlands Neurology Nursing care Nursing homes Nursing Homes - statistics & numerical data Patient Discharge - statistics & numerical data Patients Persistent Vegetative State - epidemiology Physicians Prevalence Questionnaires Sleep Disorders, Circadian Rhythm - epidemiology Traumas. Diseases due to physical agents vegetative state |
| title | Prevalence and characteristics of patients in a vegetative state in Dutch nursing homes |
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