B Ricou

C Combescure

F Gigon

P Merlani

Intensive Care Medicine Experimental

PubMed

Crossref

POSTER PRESENTATION Open AccessImpact of a major cardiovascular surgicalprocedure on patients’ interests for advance careplanningF Gigon1,2*, C Combescure1, P Merlani2,3, B Ricou1,2From ESICM LIVES 2015Berlin, Germany. 3-7 October 2015IntroductionAdvance directives (AD) and/or a health care surrogatedecision maker (HCS) are potentially helpful for care-givers to respect the patients’ autonomy whenever theircompetence is affected. Patients planned for major car-diovascular surgical procedure requiring intensive caremay consider AD/HCS as important or necessarybecause of the coming exposure to a potential life-threa-tening situation.ObjectivesTo investigate whether a major cardiovascular surgicalprocedure requiring intensive care impacts on patients’,interests for AD/HCS.1University Hospitals of Geneva, Geneva, SwitzerlandFull list of author information is available at the end of the articleFigure 1 Figure legends: p°: Chi2, p*: Mc Nemar, \: NAGigon et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A650http://www.icm-experimental.com/content/3/S1/A650© 2015 Gigon et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided theoriginal work is properly cited.MethodsPatients planned for major cardiovascular surgery wererandomized either to a group A (gA) met the day beforeand after ICU discharge, or to a group B (gB) met onlyafter ICU discharge. At each meeting, they were inter-viewed according to the same questionnaire.Results361(89%) patients (of 405 eligible) were interviewed.Male: 256(71%); age(mean ± SD):68 ± 15 years. 95(27%)had a last will, 77(21%) a life insurance, 119(33%) a fun-eral plan and 43(12%)an organ donor card. 181(50%)patients were randomized in the gA, 180(50%) in the gB.After surgery, 164(91%) of the gA patients remem-bered the interview - before, 90(50%) what AD are and61(34%) could give a correct definition of AD.ConclusionsFew patients, even when scheduled for major surgical pro-cedure, knew what AD or HCS are and even fewer hadAD/HCS. Their incidence was much lower than otherplans for the future (last will, life insurance, etc.). Under-going major surgery requiring intensive care modified sig-nificantly the attitudes of patients towards AD/HCS,decreasing their interest. Further analyses regarding thesepatients’ reasons for or against AD/HCS will provide moreinformation to understand the rarity of advance careplanning.Grant AcknowledgmentThis study is sustained by the FNRS (CR31I3_127135/1).Authors’ details1University Hospitals of Geneva, Geneva, Switzerland. 2University of Geneva,Geneva, Switzerland. 3Ospedale Regionale di Lugano, Lugano, Switzerland.Published: 1 October 2015doi:10.1186/2197-425X-3-S1-A650Cite this article as: Gigon et al.: Impact of a major cardiovascularsurgical procedure on patients’ interests for advance care planning.Intensive Care Medicine Experimental 2015 3(Suppl 1):A650.Submit your manuscript to a journal and benefi t from:7 Convenient online submission7 Rigorous peer review7 Immediate publication on acceptance7 Open access: articles freely available online7 High visibility within the fi eld7 Retaining the copyright to your article    Submit your next manuscript at 7 springeropen.comGigon et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A650http://www.icm-experimental.com/content/3/S1/A650Page 2 of 2

Impact of a major cardiovascular surgical procedure on patients' interests for advance care planning

Springer - Publisher Connector

IMPACT OF A MAJOR CARDIOVASCULAR SURGICAL PROCEDURE ON PATIENTS' INTERESTS FOR ADVANCE CARE PLANNING

POSTER PRESENTATION Open Access
Impact of a major cardiovascular surgical
procedure on patients’ interests for advance care
planning
F Gigon1,2*, C Combescure1, P Merlani2,3, B Ricou1,2
From ESICM LIVES 2015
Berlin, Germany. 3-7 October 2015
Introduction
Advance directives (AD) and/or a health care surrogate
decision maker (HCS) are potentially helpful for care-
givers to respect the patients’ autonomy whenever their
competence is affected. Patients planned for major car-
diovascular surgical procedure requiring intensive care
may consider AD/HCS as important or necessary
because of the coming exposure to a potential life-threa-
tening situation.
Objectives
To investigate whether a major cardiovascular surgical
procedure requiring intensive care impacts on patients’,
interests for AD/HCS.
1University Hospitals of Geneva, Geneva, Switzerland
Full list of author information is available at the end of the article
Figure 1 Figure legends: p°: Chi2, p*: Mc Nemar, \: NA
Gigon et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A650
http://www.icm-experimental.com/content/3/S1/A650
© 2015 Gigon et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://
creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the
original work is properly cited.
Methods
Patients planned for major cardiovascular surgery were
randomized either to a group A (gA) met the day before
and after ICU discharge, or to a group B (gB) met only
after ICU discharge. At each meeting, they were inter-
viewed according to the same questionnaire.
Results
361(89%) patients (of 405 eligible) were interviewed.
Male: 256(71%); age(mean ± SD):68 ± 15 years. 95(27%)
had a last will, 77(21%) a life insurance, 119(33%) a fun-
eral plan and 43(12%)an organ donor card. 181(50%)
patients were randomized in the gA, 180(50%) in the gB.
After surgery, 164(91%) of the gA patients remem-
bered the interview - before, 90(50%) what AD are and
61(34%) could give a correct definition of AD.
Conclusions
Few patients, even when scheduled for major surgical pro-
cedure, knew what AD or HCS are and even fewer had
AD/HCS. Their incidence was much lower than other
plans for the future (last will, life insurance, etc.). Under-
going major surgery requiring intensive care modified sig-
nificantly the attitudes of patients towards AD/HCS,
decreasing their interest. Further analyses regarding these
patients’ reasons for or against AD/HCS will provide more
information to understand the rarity of advance care
planning.
Grant Acknowledgment
This study is sustained by the FNRS (CR31I3_127135/1).
Authors’ details
1University Hospitals of Geneva, Geneva, Switzerland. 2University of Geneva,
Geneva, Switzerland. 3Ospedale Regionale di Lugano, Lugano, Switzerland.
Published: 1 October 2015
doi:10.1186/2197-425X-3-S1-A650
Cite this article as: Gigon et al.: Impact of a major cardiovascular
surgical procedure on patients’ interests for advance care planning.
Intensive Care Medicine Experimental 2015 3(Suppl 1):A650.
Submit your manuscript to a 
journal and benefi t from:
7 Convenient online submission
7 Rigorous peer review
7 Immediate publication on acceptance
7 Open access: articles freely available online
7 High visibility within the fi eld
7 Retaining the copyright to your article
    Submit your next manuscript at 7 springeropen.com
Gigon et al. Intensive Care Medicine Experimental 2015, 3(Suppl 1):A650
http://www.icm-experimental.com/content/3/S1/A650
Page 2 of 2


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Impact of a major cardiovascular surgical procedure on patients' interests for advance care planning

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