PT -期刊文章盟Brett卡普兰盟——杰西卡·克兰斯顿盟Jeffrey节省TI -平衡自治和善行在急性中风治疗:神经学家延迟溶栓的态度为了获得知情同意(P7.332) DP - 2015年4月06 TA -神经病学PG - P7.332 VI - 84 IP - 14补充4099 - //www.ez-admanager.com/content/84/14_Supplement/P7.332.short 4100 - //www.ez-admanager.com/content/84/14_Supplement/P7.首页332.full所以Neurology2015 4月06;84 AB -目的:确定美国中风医生目前平衡病人自主权和恩惠。背景:在临床实践中,当没有同意供应商立即得到授权的卒中溶栓治疗,急性中风医生面对一个自治的基本道德原则之间的冲突(尊重)和善行(利益最大化)。延迟治疗达成同意提供者最大化的自治权,但降低的好处。医生的态度解决这个冲突以前没有划定。设计/方法:6项基于互联网的调查是我们管理学术中风神经学家。受访者被要求显示多少时间(分钟),患者(人数没有好处由于延迟),和大脑(神经元丢失由于延迟)他们会花试图达到同意供应商的失语症患者急性中风病人的原则下进行治疗前推定同意。结果:从103年的332年调查中反应得到学术中风神经学家。在权衡的时间框架中,受访者表示他们会花平均1.75分钟试图联系同意提供者与溶栓在继续之前。在病人权衡框架,他们会接受0,平均每间1000治疗患者未能受益于治疗之前。 In the brain tradeoff scenario, they would accept a median of 0 neurons lost before proceeding. Converting all choices to time, respondents indicated they would trade off shorter times in the patient framework (0 minutes) and the neuron framework (0 minutes) than in the time framework (1.75 minutes). CONCLUSIONS: Vascular neurologists indicate they emphasize beneficence over autonomy in deciding when to forego further attempts to reach consent providers to proceed with thrombolytic therapy under the doctrine of presumed consent. Their preference for rapid intervention is magnified when decisions are framed in person failure to benefit and neuron loss, compared with simple chronologic time.Disclosure: Dr. Kaplan has nothing to disclose. Dr. Cranston has nothing to disclose. Dr. Saver has received personal compensation for activities with the University of California, BrainsGate, CoAxia, eV3, Talecris Biotherapeutics Inc., and PhotoThera, Inc.Thursday, April 23 2015, 2:00 pm-6:30 pm