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Published in: Intensive Care Medicine 6/2007

01-06-2007 | End of Life: National Legislations

End-of-life care in Brazil

Authors: Márcio Soares, Renato G. G. Terzi, Jefferson P. Piva

Published in: Intensive Care Medicine | Issue 6/2007

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Excerpt

Brazil is a vast developing country with marked social, educational, cultural, and economical discrepancies. Current overall life-expectancy is approx. 72 years and is increasing. The elderly population (> 65 years old) estimated for the year 2020 will be 9% of the entire Brazilian population. In general, low-income patients are cared for in public hospitals, while high-income patients and those covered by health insurances are cared for in private hospitals. Intensive care units (ICU) are located mostly in metropolitan areas, predominantly in the southeast and south of the country. …
Literature
1.
go back to reference Terzi RGG, Silveira OC (1996) Suporte avançado de vida: Até quando? In: Rocha e Silva M (ed) Choque—série clínicas Brasileiras de medicina intensiva. Atheneu, São Paulo Terzi RGG, Silveira OC (1996) Suporte avançado de vida: Até quando? In: Rocha e Silva M (ed) Choque—série clínicas Brasileiras de medicina intensiva. Atheneu, São Paulo
2.
go back to reference Terzi RGG, Silveira OC (2003) Futilidade terapêutica. Âmbito Hospitalar 159:13–17 Terzi RGG, Silveira OC (2003) Futilidade terapêutica. Âmbito Hospitalar 159:13–17
3.
go back to reference Soares M, Salluh JIF, Ferreira CG, Luiz RR, Spector N, Rocco JR (2005) Impact of two different comorbidity measures on the six-month mortality of critically ill cancer patients. Intensive Care Med 31:408–415PubMedCrossRef Soares M, Salluh JIF, Ferreira CG, Luiz RR, Spector N, Rocco JR (2005) Impact of two different comorbidity measures on the six-month mortality of critically ill cancer patients. Intensive Care Med 31:408–415PubMedCrossRef
4.
go back to reference Vieira JM Jr, Castro I, Curvello-Neto A, Demarzo S, Caruso P, Pastore L Jr, Imanishe MH, Abdulkader RC, Deheinzelin D (2007) Effect of acute kidney injury on weaning from mechanical ventilation in critically ill patients. Crit Care Med 35:184–191PubMedCrossRef Vieira JM Jr, Castro I, Curvello-Neto A, Demarzo S, Caruso P, Pastore L Jr, Imanishe MH, Abdulkader RC, Deheinzelin D (2007) Effect of acute kidney injury on weaning from mechanical ventilation in critically ill patients. Crit Care Med 35:184–191PubMedCrossRef
5.
go back to reference Moritz RD, Pamplona F (2003) Withdrawal and withholding of life support in an intensive care unit. Rev Bras Ter Intens 15:40–44 Moritz RD, Pamplona F (2003) Withdrawal and withholding of life support in an intensive care unit. Rev Bras Ter Intens 15:40–44
6.
go back to reference Maccariello E, Soares M, Valente C, Nogueira L, Valença RVR, Machado JES, Rocha E (2007) RIFLE classification in patients with acute kidney injury in need of renal replacement. Intensive Care Med, DOI 10.1007/s00134-007-0535-0 Maccariello E, Soares M, Valente C, Nogueira L, Valença RVR, Machado JES, Rocha E (2007) RIFLE classification in patients with acute kidney injury in need of renal replacement. Intensive Care Med, DOI 10.​1007/​s00134-007-0535-0
7.
go back to reference Kipper DJ, Piva JP, Garcia PC, Einloft PR, Bruno F, Lago P, Rocha T, Schein AE, Fontela PS, Gava DH, Guerra L, Chemello K, Bittencourt R, Sudbrack S, Mulinari EF, Morais JF (2005) Evolution of the medical practices and modes of death on pediatric intensive care units in southern Brazil. Pediatr Crit Care Med 6:258–263PubMedCrossRef Kipper DJ, Piva JP, Garcia PC, Einloft PR, Bruno F, Lago P, Rocha T, Schein AE, Fontela PS, Gava DH, Guerra L, Chemello K, Bittencourt R, Sudbrack S, Mulinari EF, Morais JF (2005) Evolution of the medical practices and modes of death on pediatric intensive care units in southern Brazil. Pediatr Crit Care Med 6:258–263PubMedCrossRef
8.
go back to reference Lago PM, Piva J, Kipper D, Garcia PC, Pretto C, Giongo M, Branco R, Bueno F, Traiber C, Araujo T, Wortmann D, Librelato G, Soardi D (2005) Life support limitation at three pediatric intensive care units in southern Brazil. J Pediatr (Rio J) 81:111–117 Lago PM, Piva J, Kipper D, Garcia PC, Pretto C, Giongo M, Branco R, Bueno F, Traiber C, Araujo T, Wortmann D, Librelato G, Soardi D (2005) Life support limitation at three pediatric intensive care units in southern Brazil. J Pediatr (Rio J) 81:111–117
9.
go back to reference Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S, Ledoux D, Lippert A, Maia P, Phelan D, Schobersberger W, Wennberg E, Woodcock T, Ethicus Study Group (2003) End-of-life practices in European intensive care units: the Ethicus Study. JAMA 290:790–797PubMedCrossRef Sprung CL, Cohen SL, Sjokvist P, Baras M, Bulow HH, Hovilehto S, Ledoux D, Lippert A, Maia P, Phelan D, Schobersberger W, Wennberg E, Woodcock T, Ethicus Study Group (2003) End-of-life practices in European intensive care units: the Ethicus Study. JAMA 290:790–797PubMedCrossRef
10.
go back to reference Prendergast TJ, Claessens MT, Luce JM (1998) A national survey of end-of-life care for critically ill patients. Am J Respir Crit Care Med 158:1163–1167PubMed Prendergast TJ, Claessens MT, Luce JM (1998) A national survey of end-of-life care for critically ill patients. Am J Respir Crit Care Med 158:1163–1167PubMed
11.
go back to reference Althabe M, Cardigni G, Vassallo JC, Allende D, Berrueta M, Codermatz M, Cordoba J, Castellano S, Jabornisky R, Marrone Y, Orsi MC, Rodriguez G, Varon J, Schnitzler E, Tamusch H, Torres JM, Vega L (2003) Dying in the intensive care unit: collaborative multicenter study about forgoing life-sustaining treatment in Argentine pediatric intensive care units. Pediatr Crit Care Med 4:164–169PubMedCrossRef Althabe M, Cardigni G, Vassallo JC, Allende D, Berrueta M, Codermatz M, Cordoba J, Castellano S, Jabornisky R, Marrone Y, Orsi MC, Rodriguez G, Varon J, Schnitzler E, Tamusch H, Torres JM, Vega L (2003) Dying in the intensive care unit: collaborative multicenter study about forgoing life-sustaining treatment in Argentine pediatric intensive care units. Pediatr Crit Care Med 4:164–169PubMedCrossRef
12.
go back to reference Lisboa T, Friedman G (2005) Forgoing life support in Intensive care units of south Brazil: the results of and ethical questionnaire. Rev Bras Ter Intens 17:15–22 Lisboa T, Friedman G (2005) Forgoing life support in Intensive care units of south Brazil: the results of and ethical questionnaire. Rev Bras Ter Intens 17:15–22
13.
go back to reference Athanazio RA, Barbetta MC, Bitencourt AGV, Neves FS, Torreão LA, Agareno SS, Teles JMM, Messeder O (2005) Decisão de não introduzir ou de retirar tratamentos de suporte para pacientes terminais internados em unidades de terapia intensiva. Rev Bras Ter Intens 17:181–184 Athanazio RA, Barbetta MC, Bitencourt AGV, Neves FS, Torreão LA, Agareno SS, Teles JMM, Messeder O (2005) Decisão de não introduzir ou de retirar tratamentos de suporte para pacientes terminais internados em unidades de terapia intensiva. Rev Bras Ter Intens 17:181–184
14.
go back to reference Tonelli H, Mota J, Oliveira J (2005) A profile of the medical conduct preceding child death at a tertiary hospital. J Pediatr (Rio J) 81:118–122 Tonelli H, Mota J, Oliveira J (2005) A profile of the medical conduct preceding child death at a tertiary hospital. J Pediatr (Rio J) 81:118–122
15.
go back to reference Torreão LA, Reis AG, Troster EJ (2000) Ressuscitação cardiopulmonar: discrepância entre o procedimento de ressuscitação e o registro no prontuário. J Pediatr (Rio J) 76:429–433 Torreão LA, Reis AG, Troster EJ (2000) Ressuscitação cardiopulmonar: discrepância entre o procedimento de ressuscitação e o registro no prontuário. J Pediatr (Rio J) 76:429–433
16.
go back to reference Yaguchi A, Truog RD, Curtis JR, Luce JM, Levy MM, Melot C, Vincent JL (2005) International differences in end-of-life attitudes in the intensive care unit: results of a survey. Arch Intern Med 165:1970–1975PubMedCrossRef Yaguchi A, Truog RD, Curtis JR, Luce JM, Levy MM, Melot C, Vincent JL (2005) International differences in end-of-life attitudes in the intensive care unit: results of a survey. Arch Intern Med 165:1970–1975PubMedCrossRef
Metadata
Title
End-of-life care in Brazil
Authors
Márcio Soares
Renato G. G. Terzi
Jefferson P. Piva
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 6/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0623-1

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