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[Medical, juridical and ethical problems in permanent vegetative state]

H Fahrländer

    Schweizerische Medizinische Wochenschrift
    |July 9, 1996
    PubMed
    Summary

    Epidemiological data on permanent vegetative state (PVS) are lacking in Europe. Applying UK data to Switzerland suggests an annual incidence of 70 PVS cases and a prevalence of 200-350, prompting ethical discussions on life-sustaining measures.

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    Area of Science:

    • Neurology
    • Epidemiology
    • Medical Ethics

    Context:

    • Limited epidemiological data on permanent vegetative state (PVS) in Europe over the past 12 years, excluding the UK.
    • Need for European data to inform clinical and ethical decision-making.

    Purpose:

    • To estimate the incidence and prevalence of PVS in Switzerland based on existing UK and Japanese data.
    • To summarize the medical, legal, and ethical arguments for ending life-sustaining measures in established PVS cases.

    Summary:

    • Projected annual incidence of approximately 70 PVS cases in Switzerland (population 7 million).
    • Estimated PVS prevalence in Switzerland ranges from 200 to 350 cases.
    • Discussion of ethical postulates from Anglo-American societies regarding the cessation of life-sustaining treatment for PVS.

    Impact:

    • Highlights the need for PVS epidemiological studies in Europe.
    • Provides a basis for ethical and legal discussions on patient care and end-of-life decisions in PVS.
    • Informs healthcare policy and resource allocation for neurological conditions.

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