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David Oliver: What to say when patients are “sick enough to die”

BMJ (Online), 2019-10, Vol.367, p.l5917-l5917 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go tohttp://group.bmj.com/group/rights-licensing/permissions2019BMJ ;ISSN: 0959-8138 ;EISSN: 1756-1833 ;DOI: 10.1136/bmj.l5917

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  • Title:
    David Oliver: What to say when patients are “sick enough to die”
  • Author: Oliver, David
  • Subjects: Audits ; Palliative care ; Sepsis ; Systematic review ; Verbal communication
  • Is Part Of: BMJ (Online), 2019-10, Vol.367, p.l5917-l5917
  • Description: [...]it’s not enough to have the conversation once. Early warning scores for physiologically deteriorating patients, or scores such as APACHE for those with sepsis or intensive care needs, have strong correlations with risk of death and good predictive validity, but peer reviewed analyses of big datasets show that they’re not infallible.89 Besides, they depend on individual context: how much intervention we give and for how long. Future Hosp J 2019;6:129-36. http://futurehospital.rcpjournal.org/content/6/2/129.full.pdf+html. 8 Pimentel MAF Redfern OC Gerry S. A comparison of the ability of the National Early Warning Score and the National Early Warning Score 2 to identify patients at risk of in-hospital mortality: A multi-centre database study.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 0959-8138
    EISSN: 1756-1833
    DOI: 10.1136/bmj.l5917
  • Source: AUTh Library subscriptions: ProQuest Central
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