Capacities of hospitalized, medically ill patients to consent to treatment.
[Record Source: PubMed]
This study was designed to compare the abilities of hospitalized, medically ill patients with non-ill comparison subjects to engage in an informed consent process. Eighty-two inpatients under the age of 70 were recruited from patients admitted for evaluation or treatment of ischemic heart disease (N = 675). The comparison subjects (n = 82) were matched person-to-person on age, gender, race, educational level, and occupation and did not have histories of ischemic heart disease. The hospitalized subjects did not differ from the non-ill comparison subjects on three instruments developed to assess abilities related to decision-making competence. Demographic and mental state variables did not correlate with performance, except for verbal cognitive functioning. There is no reason to believe that hospitalized patients similar to this sample--even if being treated for potentially life-threatening conditions--are at increased risk of inability to engage in a meaningful informed consent process.
Adult, Aged, Comprehension, Control Groups, Disclosure, Female, Hospitalization, Humans, Informed Consent, Male, Mental Competency, Mental Status Schedule, Middle Aged, Myocardial Ischemia, Neuropsychological Tests, Risk Assessment, Risk Factors
Detailed Record Information
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