European journal of heart failure
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Eur. J. Heart Fail. · Jan 2012
Randomized Controlled Trial Multicenter StudyLink between decisions regarding resuscitation and preferences for quality over length of life with heart failure.
Survival preferences, ascertained from time-trade-off utilities, have not been studied in heart failure patients who designate a 'do not resuscitate' (DNR) status. Therefore, the aim of this study was to determine the association of heart failure patients' resuscitation preferences with survival preferences and mortality in the ESCAPE trial. ⋯ Heart failure patients' requests to forego resuscitation may signify more than simply 'what-if' directives for emergency care. DNR decisions may reflect preferences for intervention to enhance quality rather than prolong survival, which is particularly important as these patients have high early mortality.