Tags

Type your tag names separated by a space and hit enter

Advance care planning preferences among dialysis patients and factors influencing their decisions.
Saudi J Kidney Dis Transpl. 2009 Mar; 20(2):232-9.SJ

Abstract

To determine the resuscitation preferences of hemodialysis (HD) Saudi patients, we con-ducted a cross-sectional, observational descriptive questionnaire study in two major tertiary hospitals in Saudi Arabia from March to December 2007. We enrolled all the patients on HD for two years or more, and excluded the patients who were transplant candidates, confused, or demented. The questionnaire was com-posed of 4 sections. The first 3 sections were concerned with demographic data, education levels, employ-ment, family size, number of children, and functionality status besides knowledge about cardiopulmonary resuscitation (CPR), mechanical ventilation, and ICU admission. The fourth section contained different sce-narios and questions on personal and preferences such as end of life decisions, medical interventions, CPR, ICU admission, and the decision maker in these events. A total of 100 patients (53% males, 67% Saudis, and 85% married) were enrolled in the study. The mean duration on dialysis was 6.0 years (+/- 4.1). More than 70% of the patients viewed themselves as above average in the religiosity score, and 44% disclosed a good life quality. More than 95% had little or no knowledge about cardiac resuscitation, intubation, and mechanical ventilation. The majority of the patients authorized their treating physician to decide for them about cardiac resuscitation in case they did not make advanced directives and only 22% believed that this decision should be made by their family members. If their physician believed their condition was hopeless, 77% preferred to stay at home. We conclude that the majority of our patients had limited awareness about cardiac resuscitation measures. The majority of the patients trust their physicians to decide about the futility of resuscitation. Patients were able to decide reasonably well when they are well informed.

Authors+Show Affiliations

Pulmonary Division, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. jahdali@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

19237810

Citation

Al-Jahdali, Hamdan H., et al. "Advance Care Planning Preferences Among Dialysis Patients and Factors Influencing Their Decisions." Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, vol. 20, no. 2, 2009, pp. 232-9.
Al-Jahdali HH, Bahroon S, Babgi Y, et al. Advance care planning preferences among dialysis patients and factors influencing their decisions. Saudi J Kidney Dis Transpl. 2009;20(2):232-9.
Al-Jahdali, H. H., Bahroon, S., Babgi, Y., Tamim, H., Al-Ghamdi, S. M., & Al-Sayyari, A. A. (2009). Advance care planning preferences among dialysis patients and factors influencing their decisions. Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 20(2), 232-9.
Al-Jahdali HH, et al. Advance Care Planning Preferences Among Dialysis Patients and Factors Influencing Their Decisions. Saudi J Kidney Dis Transpl. 2009;20(2):232-9. PubMed PMID: 19237810.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Advance care planning preferences among dialysis patients and factors influencing their decisions. AU - Al-Jahdali,Hamdan H, AU - Bahroon,Salim, AU - Babgi,Yaser, AU - Tamim,Hani, AU - Al-Ghamdi,Saeed M, AU - Al-Sayyari,Abdullah A, PY - 2009/2/25/entrez PY - 2009/2/25/pubmed PY - 2009/4/29/medline SP - 232 EP - 9 JF - Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia JO - Saudi J Kidney Dis Transpl VL - 20 IS - 2 N2 - To determine the resuscitation preferences of hemodialysis (HD) Saudi patients, we con-ducted a cross-sectional, observational descriptive questionnaire study in two major tertiary hospitals in Saudi Arabia from March to December 2007. We enrolled all the patients on HD for two years or more, and excluded the patients who were transplant candidates, confused, or demented. The questionnaire was com-posed of 4 sections. The first 3 sections were concerned with demographic data, education levels, employ-ment, family size, number of children, and functionality status besides knowledge about cardiopulmonary resuscitation (CPR), mechanical ventilation, and ICU admission. The fourth section contained different sce-narios and questions on personal and preferences such as end of life decisions, medical interventions, CPR, ICU admission, and the decision maker in these events. A total of 100 patients (53% males, 67% Saudis, and 85% married) were enrolled in the study. The mean duration on dialysis was 6.0 years (+/- 4.1). More than 70% of the patients viewed themselves as above average in the religiosity score, and 44% disclosed a good life quality. More than 95% had little or no knowledge about cardiac resuscitation, intubation, and mechanical ventilation. The majority of the patients authorized their treating physician to decide for them about cardiac resuscitation in case they did not make advanced directives and only 22% believed that this decision should be made by their family members. If their physician believed their condition was hopeless, 77% preferred to stay at home. We conclude that the majority of our patients had limited awareness about cardiac resuscitation measures. The majority of the patients trust their physicians to decide about the futility of resuscitation. Patients were able to decide reasonably well when they are well informed. SN - 1319-2442 UR - https://www.unboundmedicine.com/medline/citation/19237810/Advance_care_planning_preferences_among_dialysis_patients_and_factors_influencing_their_decisions_ L2 - http://www.sjkdt.org/article.asp?issn=1319-2442;year=2009;volume=20;issue=2;spage=232;epage=239;aulast=Al-Jahdali DB - PRIME DP - Unbound Medicine ER -