Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 16.087
Filtrar
1.
Soins ; 66(855): 26-29, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-34103129

RESUMO

The covid-19 epidemic and the resulting lockdown measures have undoubtedly led people who are ill, as well as those at risk of becoming ill, to contemplate the notions of risk, uncertainty and death. What effects has this confrontation with the question of death had and what impact will it continue to have on the palliative care approach and the decisions to withhold and withdraw treatment in certain circumstances?


Assuntos
COVID-19 , Controle de Doenças Transmissíveis , Morte , Tomada de Decisões , Humanos , Cuidados Paliativos , SARS-CoV-2 , Suspensão de Tratamento
2.
Soins ; 66(855): 49-50, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-34103137

RESUMO

The brutal collective ordeal of the pandemic and lockdown has disrupted the activities and settings of home nurses. The impossible accompaniment at the end of their loved one's life in the hospital, led the family of M. P. to ask for his return to the home. With in-home support, the nursing team, accompanied by the family, provided non-invasive end-of-life care while respecting the patient's wishes.


Assuntos
Pandemias , Assistência Terminal , Morte , Humanos
3.
BMJ Open ; 11(6): e042978, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34078633

RESUMO

OBJECTIVE: To compare recent immigrants and long-term residents in Ontario, Canada, on established health service quality indicators of end-of-life cancer care. DESIGN: Retrospective, population-based cohort study of cancer decedents between 2004 and 2015. SETTING: Ontario, Canada. PARTICIPANTS: We grouped 13 085 immigrants who arrived in Ontario in 1985 or later into eight major ethnic groups based on birth country, mother tongue and surname, and compared them to 229 471 long-term residents who were ≥18 years at the time of death. PRIMARY AND SECONDARY OUTCOME MEASURES: Aggressive care, defined as a composite of ≥2 emergency department visits, ≥2 new hospitalisations or an intensive care unit admission within 30 days of death; and supportive care, defined as a physician house call within 2 weeks, or palliative nursing or personal support worker home visit within 6 months of death. Multivariable logistic regression was used to examine the association between immigration status and the odds of each main outcome. RESULTS: Compared with long-term residents, immigrants overall and by ethnic group had higher rates of aggressive care (13.7% vs 17.5%, respectively; p<0.001). Among immigrants, Southeast Asians had the highest use while White-Eastern and Western Europeans had the lowest. Supportive care use was similar between long-term residents and immigrants (50.0% vs 50.5%, respectively; p=0.36), though lower among Southeast Asians (46.6%) and higher among White-Western Europeans (55.6%). After adjusting for sociodemographic characteristics and comorbidities, immigrants remained more likely than long-term residents to receive aggressive care (OR: 1.15, 95% CI 1.09 to 1.21), yet were less likely to receive supportive care (OR: 0.95, 95% CI 0.91 to 0.98). CONCLUSIONS: Among cancer decedents in Ontario, immigrants are more likely to use aggressive healthcare services at the end of life than long-term residents, while supportive care varies by ethnicity. Contributors to variation in end-of-life care require further study.


Assuntos
Emigrantes e Imigrantes , Neoplasias , Assistência Terminal , Estudos de Coortes , Morte , Humanos , Neoplasias/terapia , Ontário/epidemiologia , Estudos Retrospectivos
4.
Rev Med Liege ; 76(5-6): 565-468, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-34080399

RESUMO

Progress of medical knowledge pushed the limits of medicine. This raises major ethical issues. The Belgian lawmaker, concerned to ensure the observance of Human Rights, attempted to regulate some of these issues. It remains essential to listen to the patient and to respect his/her will. Likewise, defining therapeutic goals based on patient's values and priorities is crucial until the end of patient's life.


Assuntos
Qualidade de Vida , Assistência Terminal , Bélgica , Morte , Feminino , Humanos , Masculino , Cuidados Paliativos
6.
BMC Geriatr ; 21(1): 326, 2021 05 22.
Artigo em Inglês | MEDLINE | ID: mdl-34022818

RESUMO

BACKGROUND: Optimal supportive end of life care for frail, older adults in long term care (LTC) homes involves symptom management, family participation, advance care plans, and organizational support. This 2-phase study aimed to combine multi-disciplinary opinions, build group consensus, and identify the top interventions needed to develop a supportive end of life care strategy for LTC. METHODS: A consensus-building approach was undertaken in 2 Phases. The first phase deployed modified Delphi questionnaires to address and transform diverse opinions into group consensus. The second phase explored and prioritized the interventions needed to develop a supportive end of life care strategy for LTC. Development of the Delphi questionnaire was based on findings from published results of physician perspectives of barriers and facilitators to optimal supportive end of life care in LTC, a literature search of palliative care models in LTC, and published results of patient, family and nursing perspectives of supportive end of life care in long term care. The second phase involved World Café Style workshop discussions. A multi-disciplinary purposive sample of individuals inclusive of physicians; staff, administrators, residents, family members, and content experts in palliative care, and researchers in geriatrics and gerontology participated in round one of the modified Delphi questionnaire. A second purposive sample derived from round one participants completed the second round of the modified Delphi questionnaire. A third purposive sample (including participants from the Delphi panel) then convened to identify the top priorities needed to develop a supportive end-of-life care strategy for LTC. RESULTS: 19 participants rated 75 statements on a 9-point Likert scale during the first round of the modified Delphi questionnaire. 11 participants (participation rate 58 %) completed the second round of the modified Delphi questionnaire and reached consensus on the inclusion of 71candidate statements. 35 multidisciplinary participants discussed the 71 statements remaining and prioritized the top clinical practice, communication, and policy interventions needed to develop a supportive end of life strategy for LTC. CONCLUSIONS: Multi-disciplinary stakeholders identified and prioritized the top interventions needed to develop a 5-point supportive end of life care strategy for LTC.


Assuntos
Assistência de Longa Duração , Assistência Terminal , Idoso , Consenso , Morte , Técnica Delfos , Humanos
8.
Health Aff (Millwood) ; 40(5): 844-847, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33939517

RESUMO

Hospice provides palliative care at the end of life, but the model fails when patients die more slowly than expected.


Assuntos
Cuidados Paliativos na Terminalidade da Vida , Hospitais para Doentes Terminais , Currículo , Morte , Humanos , Cuidados Paliativos
9.
Am J Case Rep ; 22: e930305, 2021 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-34011921

RESUMO

BACKGROUND Organ donation after cardiac death (DCD) is a well-accepted practice in the medical, philosophical, and legal fields. It is important to determine the amount of time required for the loss of circulation to lead to irreversible brain loss, and ultimately brain death. CASE REPORT We report a rare case of organ donation after cardiac death. During organ procurement, it was noted that the patient's aortic and renal arteries were pumping and pulsing, and her cardiopulmonary activities were back to unexpected levels. The organ procurement surgery was stopped. At the time, the patient was given Fentanyl and Lorazepam. Subsequently, she was pronounced dead again 18 minutes after she was initially pronounced dead. After a complete autopsy, the cause of death was determined to be acute Fentanyl toxicity due to a Fentanyl injection in the hospital. The manner of death was determined to be homicide. CONCLUSIONS What should an attending physician do in the rare case that the organ procurement team notices the patient is still alive? It is our opinion that: first, the organ procurement team should leave the room immediately and withdraw from the case, and second, the attending physician should let nature run its course and refrain from excessive medical intervention.


Assuntos
Médicos , Obtenção de Tecidos e Órgãos , Morte Encefálica , Morte , Humanos , Doadores de Tecidos , Coleta de Tecidos e Órgãos
10.
BMJ Open ; 11(5): e043795, 2021 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-34035095

RESUMO

OBJECTIVES: The WHO estimates that the COVID-19 pandemic has led to more than 1.3 million deaths (1 377 395) globally (as of November 2020). This surge in death necessitates identification of resource needs and relies on modelling resource and understanding anticipated surges in demand. Our aim was to develop a generic computer model that could estimate resources required for end-of-life (EoL) care delivery during the pandemic. SETTING: A discrete event simulation model was developed and used to estimate resourcing needs for a geographical area in the South West of England. While our analysis focused on the UK setting, the model is flexible to changes in demand and setting. PARTICIPANTS: We used the model to estimate resourcing needs for a population of around 1 million people. PRIMARY AND SECONDARY OUTCOME MEASURES: The model predicts the per-day 'staff' and 'stuff' resourcing required to meet a given level of incoming EoL care activity. RESULTS: A mean of 11.97 hours of additional community nurse time, up to 33 hours of care assistant time and up to 30 hours additional care from care assistant night sits will be required per day as a result of out of hospital COVID-19 deaths based on the model prediction. Specialist palliative care demand is predicted to increase up to 19 hours per day. An additional 286 anticipatory medicine bundles per month will be necessary to alleviate physical symptoms at the EoL care for patients with COVID-19: an average additional 10.21 bundles of anticipatory medication per day. An average additional 9.35 syringe pumps could be needed to be in use per day. CONCLUSIONS: The analysis for a large region in the South West of England shows the significant additional physical and human resource required to relieve suffering at the EoL as part of a pandemic response.


Assuntos
COVID-19 , Pandemias , Morte , Inglaterra/epidemiologia , Humanos , Cuidados Paliativos , SARS-CoV-2
11.
BMJ Open ; 11(5): e047554, 2021 05 26.
Artigo em Inglês | MEDLINE | ID: mdl-34039578

RESUMO

INTRODUCTION: Dementia with Lewy bodies (DLB) is one of the most common degenerative dementias. Despite the fact that most individuals with DLB die from complications of the disease, little is known regarding what factors predict impending end of life or are associated with a quality end of life. METHODS AND ANALYSIS: This is a multisite longitudinal cohort study. Participants are being recruited from five academic centres providing subspecialty DLB care and volunteers through the Lewy Body Dementia Association (not receiving specialty care). Dyads must be US residents, include individuals with a clinical diagnosis of DLB and at least moderate-to-severe dementia and include the primary caregiver, who must pass a brief cognitive screen. The first dyad was enrolled 25 February 2021; recruitment is ongoing. Dyads will attend study visits every 6 months through the end of life or 3 years. Study visits will occur in-person or virtually. Measures include demographics, DLB characteristics, caregiver considerations, quality of life and satisfaction with end-of-life experiences. For dyads where the individual with DLB dies, the caregiver will complete a final study visit 3 months after the death to assess grief, recovery and quality of the end-of-life experience. Terminal trend models will be employed to identify significant predictors of approaching end of life (death in the next 6 months). Similar models will assess caregiver factors (eg, grief, satisfaction with end-of-life experience) after the death of the individual with DLB. A qualitative descriptive analysis approach will evaluate interview transcripts regarding end-of-life experiences. ETHICS AND DISSEMINATION: This study was approved by the University of Florida institutional review board (IRB202001438) and is listed on clinicaltrials.gov (NCT04829656). Data sharing follows National Institutes of Health policies. Study results will be disseminated via traditional scientific strategies (conferences, publications) and through collaborating with the Lewy Body Dementia Association, National Institute on Aging and other partnerships.


Assuntos
Doença por Corpos de Lewy , Estudos de Coortes , Morte , Humanos , Estudos Longitudinais , Estudos Observacionais como Assunto , Qualidade de Vida
12.
BMC Health Serv Res ; 21(1): 421, 2021 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-33947386

RESUMO

BACKGROUND: Terminal illness can cause a financial burden for many households. In England and Wales, fast-track access to welfare payments is available through special rules for the terminally ill (SRTI). Individuals are eligible for SRTI if they are judged to have 6 months or less to live. This criterion has been criticised as lacking a clinical basis, and being unfair for people with conditions where life-expectancy is difficult to accurately assess. AIM: To conduct a budget impact analysis on the possible increase in expenditure of personal independence payments (PIP) following a change in England and Wales to SRTI so that everyone with a terminal illness is eligible. METHODS: The fraction of individuals with a given long-term condition was estimated by combining data from the Health Survey for England, the Office for National Statistics (ONS) and the Department for Work and Pensions. Logistic growth modelling and ONS population projections were used to project PIP expenditure from 2020 to 2025. The increased expenditure was calculated for hypothetical scenarios which may occur following an SRTI regime change, specifically an increase of 1, 2 and 3 percentage points in the fraction of individuals claiming PIP under SRTI. Data from the literature on the projected prevalence of mild, moderate and severe dementia was used to calculate the cost if everyone with a given severity of dementia claimed PIP under SRTI. RESULTS: Under the current SRTI regime, PIP expenditure under SRTI was projected to increase from £0.231bn in 2020 to £0.260bn in 2025, compared to equivalent figures of £11.1bn and £12.7bn under non-SRTI. Expenditure in 2025 following an increase in the fraction claiming of 1, 2 and 3 percentage points was projected to be £1.1bn, £1.9bn and £2.7bn respectively. In 2025, PIP expenditure was estimated to be £7.4bn if everyone with dementia claimed under SRTI, compared to £6.4bn if only individuals with moderate and severe dementia claimed, and £4.7bn if only individuals with severe dementia claimed. CONCLUSION: Changes in SRTI are projected to lead to increases in PIP expenditure. However, the increased cost is small compared to expenditure under non-SRTI, especially as the highest costs were associated with extreme scenarios.


Assuntos
Gastos em Saúde , Seguridade Social , Morte , Inglaterra , Humanos , País de Gales
13.
Enferm Clin ; 31 Suppl 2: S348-S351, 2021 04.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33849197

RESUMO

Spiritual care is an essential part in the end of life patients and provides a positive aspect for the quality of life. This study aims to explore nurses' experience in providing spiritual care for patients in the end of their life in hospitals X. Colaizzi analysis was utilized to derive 181 quotes, 36 subcategories, 12 categories, and six themes. This study reveals six themes: (1) changes in physiological functions in the end of life exist; (2) caring is an essential treatment in the end of life care; (3) the nursing process focuses on basic needs including personal hygiene, pain, ulcer care, need for comfort, and spiritual therapy; (4) nurses become advocates in strengthening family system support; (5) the acts of inter-collaboration in care; and (6) the head of ICU room performs management functions including direction and control but does not optimally plan and regulate. This study recommends that nurses increase their care competence through CPD and review hospital policies in terms of family assistance for end-of-life patients.


Assuntos
Enfermeiras e Enfermeiros , Assistência Terminal , Morte , Humanos , Qualidade de Vida , Espiritualidade
14.
CMAJ Open ; 9(2): E400-E405, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33863798

RESUMO

BACKGROUND: In March 2020, all levels of government introduced various strategies to reduce the impact of the COVID-19 pandemic. The purpose of this study was to document how the experience of providing medical assistance in dying (MAiD) changed during the COVID-19 pandemic. METHODS: We conducted a qualitative study using semistructured interviews with key informants in Canada who provided or coordinated MAiD before and during the COVID-19 pandemic. We interviewed participants from April to June 2020 by telephone or email. We collected and analyzed data in an iterative manner and reached theme saturation. Our team reached consensus on the major themes and subthemes. RESULTS: We interviewed 1 MAiD coordinator and 15 providers, including 14 physicians and 1 nurse practitioner. We identified 4 main themes. The most important theme was the perception that the pandemic increased the suffering of patients receiving MAiD by isolating them from loved ones and reducing available services. Providers were distressed by the difficulty of establishing rapport and closeness at the end of life, given the requirements for physical distancing and personal protective equipment. They were concerned about the spread of SARS-CoV-2, and found it difficult to enforce rules about distancing and the number of people present. Logistics and access to MAiD became more difficult because of the new restrictions, but there were many adaptations to solve these problems. INTERPRETATION: Providers and coordinators had many challenges in providing MAiD during the COVID-19 pandemic, including their perception that the suffering of their patients increased. Some changes in how MAiD is provided that have occurred during the pandemic, including more telemedicine assessments and virtual witnessing, are likely to remain after the pandemic and may improve service.


Assuntos
COVID-19/psicologia , Acesso aos Serviços de Saúde/estatística & dados numéricos , Assistência Médica/estatística & dados numéricos , Percepção/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/virologia , Canadá/epidemiologia , Morte , Feminino , Humanos , Entrevistas como Assunto , Masculino , Assistência Médica/tendências , Pessoa de Meia-Idade , Profissionais de Enfermagem/psicologia , Isolamento de Pacientes/psicologia , Equipamento de Proteção Individual/efeitos adversos , Médicos/psicologia , Pesquisa Qualitativa , SARS-CoV-2/genética
15.
BMJ Open ; 11(4): e042645, 2021 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-33883149

RESUMO

OBJECTIVES: To assess the degree of frailty in older people with different advanced diseases and its relationship with end-of-life illness trajectories and survival. METHODS: Prospective, observational study, including all patients admitted to the Acute Geriatric Unit of the University Hospital of Vic (Spain) during 12 consecutive months (2014-2015), followed for up to 2 years. Participants were identified as end-of-life people (EOLp) using the NECPAL (NECesidades PALiativas, palliative care needs) tool and were classified according to their dominant illness trajectory. The Frail-VIG index (Valoración Integral Geriátrica, Comprehensive Geriatric Assessment) was used to quantify frailty degree, to calculate the relationship between frailty and mortality (Receiver Operating Characteristic (ROC) curves), and to assess the combined effect of frailty degree and illness trajectories on survival (Cox proportional hazards model). Survival curves were plotted using the Kaplan-Meier estimator with participants classified into four groups (ie, no frailty, mild frailty, moderate frailty and advanced frailty) and were compared using the log-rank test. RESULTS: Of the 590 persons with a mean (SD) age of 86.4 (5.6) years recruited, 260 (44.1%) were identified as EOLp, distributed into cancer (n=31, 11.9%), organ failure (n=79, 30.4%), dementia (n=86, 33.1%) and multimorbidity (n=64, 24.6%) trajectories. All 260 EOLp had some degree of frailty, mostly advanced frailty (n=184, 70.8%), regardless of the illness trajectory, and 220 (84.6%) died within 2 years. The area under the ROC curve (95% CI) after 2 years of follow-up for EOLp was 0.87 (0.84 to 0.92) with different patterns of survival decline in the different end-of-life trajectories (p<0.0001). Cox regression analyses showed that each additional deficit of the Frail-VIG index increased the risk of death by 61.5%, 30.1%, 29.6% and 12.9% in people with dementia, organ failure, multimorbidity and cancer, respectively (p<0.01 for all the coefficients). CONCLUSIONS: All older people towards the end-of-life in this study were frail, mostly with advanced frailty. The degree of frailty is related to survival across the different illness trajectories despite the differing survival patterns among trajectories. Frailty indexes may be useful to assess end-of-life older people, regardless of their trajectory.


Assuntos
Fragilidade , Idoso , Idoso de 80 Anos ou mais , Morte , Idoso Fragilizado , Fragilidade/epidemiologia , Avaliação Geriátrica , Humanos , Estudos Prospectivos , Espanha/epidemiologia
16.
Washington, D.C.; OPAS; 2021-04-26.
em Português | PAHO-IRIS | ID: phr2-53835

RESUMO

A revisão e a análise dos casos notificados de COVID-19 indicaram que o número de hospitalizações, internações em Unidades de Terapia Intensiva (UTI) e óbitos foi maior entre idosos e entre aqueles com comorbidades. Na Região das Américas, 67% das mortes ocorridas em 2020 corresponderam a idosos. No entanto, em nível global, houve mudança no perfil etário dos casos internados, e daqueles internados em UTI, com maior taxa de internação na população mais jovem. Para medir a gravidade da COVID-19, foram levadas em consideração algumas das medidas que têm sido historicamente usadas para avaliar a gravidade clínica da gripe. Embora os dados disponíveis para análise sejam preliminares e sujeitos a alterações à medida que são atualizados retrospectivamente, foram utilizados dois indicadores: taxas de internação em UTI e óbitos. A seguir, um resumo dos casos graves de COVID-19 no Brasil, Chile, Paraguai e Peru, países para os quais existem informações sobre o aumento da gravidade clínica na população com menos de 60 anos.


Assuntos
COVID-19 , Regulamento Sanitário Internacional , Infecções por Coronavirus , Emergências , América , Região do Caribe , Betacoronavirus , Hospitalização , Morte
17.
Science ; 372(6537): 32-33, 2021 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-33795447

Assuntos
Morte , Humanos
19.
Nurse Educ Today ; 101: 104892, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33866077

RESUMO

OBJECTIVES: To examine the effectiveness of end-of-life educational interventions in improving nurses and nursing students' attitude toward death and care of dying patients. DESIGN: A systematic review and meta-analysis of randomized controlled trials and controlled clinical trials. DATA SOURCES: English language studies were sourced from five electronic databases (PubMed, Embase, CINAHL, PsycINFO and ProQuest Dissertations & Theses Global) to November 2020. REVIEW METHODS: A meta-analysis was conducted using the random-effect model. Standardized mean differences with 95% confidence intervals were used as the effect measure under the inverse-variance method. Heterogeneity was assessed using the I2 statistics and Cochran's Q chi-squared test. The Cochrane risk of bias tool conducted quality appraisal at the study level while the Grades of Recommendation, Assessment, Development, and Evaluation approach conducted quality appraisal at the outcome level. RESULTS: Nine studies were included. Meta-analyses showed that end-of-life educational interventions were effective in improving attitude toward death and care of dying patients among nurses and nursing students at post-intervention. The sustainability of improvement of both attitudes could not be determined due to the lack of follow-up assessments by the included studies. Subgroup analyses revealed that both nurses and nursing students showed similar attitude improvement, online educational courses were feasible and attitude toward death may require longer interventions (more than 2 months) to show improvement. CONCLUSIONS: Future trials could be improved by organizing both group-based segments and combined sessions for nurses and nursing students. Online components could be incorporated for convenience. Topics related to spirituality and grief management should be included. Future research is needed to examine the sustainability of nurses and nursing students' improvement in attitude toward death and care of dying patients, as well as how the change in their attitude affects their clinical practices.


Assuntos
Atitude Frente a Morte , Estudantes de Enfermagem , Assistência Terminal , Morte , Humanos , Pacientes
20.
Med J Aust ; 214(7): 310-317, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33792058

RESUMO

OBJECTIVE: To determine whether the availability of invasive coronary angiography at the hospital of presentation influences catheterisation rates for patients with acute coronary syndrome (ACS), and whether presenting to a catheterisation-capable hospital is associated with better outcomes for patients with ACS. DESIGN, SETTING: Retrospective cohort study; analysis of Cooperative National Registry of Acute Coronary Events (CONCORDANCE) data. SETTING, PARTICIPANTS: Adults admitted with ACS to 43 Australian hospitals (including 31 catheterisation-capable hospitals), February 2009 - October 2018. MAIN OUTCOME MEASURES: Major adverse cardiovascular events (myocardial infarction, stroke, congestive heart failure, cardiogenic shock, cardiovascular death) and all-cause deaths in hospital and by six and 12- or 24-month follow-up. RESULTS: The proportion of women among the 5637 patients who presented to catheterisation-capable hospitals was smaller than for the 2608 patients who presented to hospitals without catheterisation facilities (28% v 33%); the proportion of patients diagnosed with ST elevation myocardial infarction was larger (32% v 20%). The proportions of patients who underwent catheterisation (81% v 70%) or percutaneous coronary intervention (49% v 35%) were larger for those who presented to catheterisation-capable hospitals. The baseline characteristics of patients who underwent catheterisation were similar for both presentation hospital categories, as were rates of major adverse cardiovascular events and all-cause death in hospital and by 6- and 12- or 24-month follow-up. CONCLUSIONS: Although a larger proportion of patients who presented to catheterisation-capable hospitals underwent catheterisation, patients with similar characteristics were selected for the procedure, independent of the hospital of presentation. Major outcomes for patients were also similar, suggesting equitable management of patients with ACS across Australia.


Assuntos
Síndrome Coronariana Aguda/diagnóstico , Cateterismo Cardíaco/estatística & dados numéricos , Angiografia Coronária/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Austrália/epidemiologia , Cateterismo Cardíaco/métodos , Angiografia Coronária/métodos , Morte , Feminino , Seguimentos , Insuficiência Cardíaca/epidemiologia , Hospitalização/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/epidemiologia , Intervenção Coronária Percutânea/métodos , Intervenção Coronária Percutânea/estatística & dados numéricos , Estudos Retrospectivos , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Infarto do Miocárdio com Supradesnível do Segmento ST/epidemiologia , Infarto do Miocárdio com Supradesnível do Segmento ST/fisiopatologia , Choque Cardiogênico/epidemiologia , Acidente Vascular Cerebral/epidemiologia , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...