Key result
Providers' knowledge deficits and reluctance, along with patients' lack of understanding, delay ICD deactivation discussions, which occur more frequently when formal institutional policies exist.
Population
14 studies investigating clinical practices and provider and patient attitudes regarding implantable…
Design
Systematic_review
Authors
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Clinicians should initiate earlier ICD deactivation talks in end-of-life planning; leaves open optimal strategies to reduce painful shocks.
Systematic Review (n=14)
Formal institutional policies, interdisciplinary approaches, and improved provider and patient education are needed to promote timely ICD deactivation discussions at the end of life.
James E. Russo (2011) conducted a systematic review in Terminally ill patients with ICDs (n=14). ICD deactivation discussions was evaluated on Factors delaying ICD deactivation discussions and ways to promote them. Providers' knowledge deficits and reluctance, along with patients' lack of understanding, delay ICD deactivation discussions, which occur more frequently when formal institutional policies exist.
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