Barriers to Conversations About Deactivation of Implantable Defibrillators in Seriously Ill Patients
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Few patients or families discuss the option of device deactivation with their physicians before the days preceding death, even among patients with do-not-resuscitate orders or during terminal situations.
“yet few patients or families discuss the option of device deactivation with their physicians before the days preceding death, even among patients with do-notresuscitate orders, or during terminal situations.”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [44]
The discussion identifies physician perceptions that may discourage conversations about ICD deactivation in advanced illness. It does not report how few patients or families have these conversations, when they occur relative to death, or whether they occur for patients with do-not-resuscitate orders or in terminal situations. (LLM, conf=0.82)
Experimental — accuracy not yet measuredMany patients do not know that device deactivation is an available option.
“Many do not know that device deactivation is an available option.33,44,45”
From Managing with pacemakers and implantable cardioverter defibrillators (2013) · cites this paper as [44]
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Wann ist es an der Zeit, die Devices abzuschalten?
Strohmer, B. (2014) · Journal für Kardiologie (Krause & Pachernegg GmbH)
- Authors
- Goldstein, N., Bradley, E., Zeidman, J., Mehta, D., & Morrison, R. S.
- Affiliations
- Mount Sinai Hospital (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Goldstein, Nathan
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2009-07
- Volume
- 54
- Issue
- 4
- Pages
- 371-373
- ISSN
- 0735-1097 (ISSN-L)
- PMC
- PMC3059516
- OpenAlex
- W1605449461
- Cited by
- 73
- References
- 7
- Citations by year
- 2026: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 6 · 2016: 7 · 2015: 5 · 2014: 4 · 2013: 5 · 2012: 11
- FWCI
- 10.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Patrick and Catherine Weldon Donaghue Medical Research Foundation
- Hartford Foundation for Public Giving
- Boston Scientific Corporation
- National Palliative Care Research Center
- National Institutes of Health (2p30ag028741-16)
- National Institute on Aging (P30‐AG028741, K23AG025933, K24AG022345, 1K24 AG 22345‐01)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- implantable cardioverter-defibrillator, device deactivation, seriously ill patients, end-of-life care, physician-family communication, patient and family decision-making, multidisciplinary care
- MeSH terms
- Attitude of Health Personnel, Cardiology, Decision Making, Female, Humans, Male, Physicians, Family, Surveys and Questionnaires, Terminal Care, Defibrillators, Implantable, Withholding Treatment
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