title: [Advance care planning and severe chronic diseases].
abstract: BACKGROUND
  Advanced care planning (ACP) helps in make decisions on the health problems of people who have lost the capacity for informed consent. It has proven particularly useful in addressing the end of life. The aim of this study was to determine the prevalence of ACP in patients with severe chronic diseases.
  
  
  METHODS
  Review of medical records of patients with dementia, amyotrophic lateral sclerosis, Parkinson's disease, chronic obstructive pulmonary disease or interstitial lung disease, heart failure, chronic kidney disease on dialysis and cancer, all in advanced stages. We collected data on living wills or registered prior decisions by the physician according to clinical planned.
  
  
  RESULTS
  A total of 135 patients were studied. There was a record of ACP in 22 patients (16.3%). In most of them it was planned not to start any vital treatment in the event of high risk of imminent death and lacking the ability to make decisions. Only two patients were had a legal living will.
  
  
  CONCLUSIONS
  The registration of ACP is relatively low, and this can affect decision-making in accordance with the personal values of patients when they do not have the capacity to exercise informed consent.
authors: Centro Sociosanitario Albada, Corporación Sanitaria Parc Taulí, Sabadell, Institut Universitari Parc Taulí - Universitat Autónoma de Barcelona (UAB), Campus d'Excelència Internacional, Bellaterrra, Barcelona, España. Electronic address: gdiestre@gmal.com.
authors: Germán
authors: G
authors: Diestre Ortín
authors: Vanessa
authors: V
authors: González Sequero
authors: Núria
authors: N
authors: Collell Domènech
authors: Francisca
authors: F
authors: Pérez López
authors: Pablo
authors: P
authors: Hernando Robles
mesh_terms: D032722:Advance Care Planning / Q000706:statistics & numerical data*; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index
keywords: Advance care planning; Bioethics; Bioética; Cuidados paliativos; Palliative care; Planificación anticipada de decisiones