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Decision to resuscitate or not in patients with chronic diseases.
Dan Med J. 2012 Jan; 59(1):A4353.DM

Abstract

INTRODUCTION

Do-not-resuscitate (DNR) decisions are frequently made without informing the patients. We attempt to determine whether patients and physicians wish to discuss the DNR decision, who they think, should be the final decision maker and whether they agree on the indication for cardiopulmonary resuscitation (CPR) in case of cardiac arrest.

MATERIAL AND METHODS

We carried out a questionnaire survey among 112 haemodialysis patients and 17 physicians at department of nephrology, Herlev Hospital. The patients were interviewed orally, the physicians responded to written questionnaires.

RESULTS

The majority of patients (86%) and physicians (88%) answered, that patients ought to be involved in the DNR decision. However they both wanted to be the final decision maker. Most patients (69%) desired CPR in case of cardiac arrest. Physicians would attempt to resuscitate 88% of the patients. In 30% of the cases, the patient and the physician disagreed on whether or not to attempt resuscitation.

CONCLUSION

Both patients and physicians think they ought to make the final DNR decision. In practice, patients are often not involved. Since the patient and the physician disagree regarding the indication for CPR in one third of the cases, we must assume that many patients are resuscitated against their wishes. National guidelines are required.

FUNDING

not relevant.

TRIAL REGISTRATION

not relevant.

Authors+Show Affiliations

Department of Nephrology, Herlev Hospital, Denmark. lenanielsen80@hotmail.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22239838

Citation

Saltbaek, Lena, and Erling Tvedegaard. "Decision to Resuscitate or Not in Patients With Chronic Diseases." Danish Medical Journal, vol. 59, no. 1, 2012, pp. A4353.
Saltbaek L, Tvedegaard E. Decision to resuscitate or not in patients with chronic diseases. Dan Med J. 2012;59(1):A4353.
Saltbaek, L., & Tvedegaard, E. (2012). Decision to resuscitate or not in patients with chronic diseases. Danish Medical Journal, 59(1), A4353.
Saltbaek L, Tvedegaard E. Decision to Resuscitate or Not in Patients With Chronic Diseases. Dan Med J. 2012;59(1):A4353. PubMed PMID: 22239838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Decision to resuscitate or not in patients with chronic diseases. AU - Saltbaek,Lena, AU - Tvedegaard,Erling, PY - 2012/1/14/entrez PY - 2012/1/14/pubmed PY - 2012/5/9/medline SP - A4353 EP - A4353 JF - Danish medical journal JO - Dan Med J VL - 59 IS - 1 N2 - INTRODUCTION: Do-not-resuscitate (DNR) decisions are frequently made without informing the patients. We attempt to determine whether patients and physicians wish to discuss the DNR decision, who they think, should be the final decision maker and whether they agree on the indication for cardiopulmonary resuscitation (CPR) in case of cardiac arrest. MATERIAL AND METHODS: We carried out a questionnaire survey among 112 haemodialysis patients and 17 physicians at department of nephrology, Herlev Hospital. The patients were interviewed orally, the physicians responded to written questionnaires. RESULTS: The majority of patients (86%) and physicians (88%) answered, that patients ought to be involved in the DNR decision. However they both wanted to be the final decision maker. Most patients (69%) desired CPR in case of cardiac arrest. Physicians would attempt to resuscitate 88% of the patients. In 30% of the cases, the patient and the physician disagreed on whether or not to attempt resuscitation. CONCLUSION: Both patients and physicians think they ought to make the final DNR decision. In practice, patients are often not involved. Since the patient and the physician disagree regarding the indication for CPR in one third of the cases, we must assume that many patients are resuscitated against their wishes. National guidelines are required. FUNDING: not relevant. TRIAL REGISTRATION: not relevant. SN - 2245-1919 UR - https://www.unboundmedicine.com/medline/citation/22239838/Decision_to_resuscitate_or_not_in_patients_with_chronic_diseases_ L2 - http://ugeskriftet.dk/dmj/A4353 DB - PRIME DP - Unbound Medicine ER -