Misconceptions and do-not-resuscitate preferences of healthcare professionals commonly involved in cardiopulmonary resuscitations: A national survey

Autor: Simon A. Amacher, Sebastian Gross, Christoph Becker, Armon Arpagaus, Tabita Urben, Jens Gaab, Christian Emsden, Kai Tisljar, Raoul Sutter, Hans Pargger, Stephan Marsch, Sabina Hunziker
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Resuscitation Plus, Vol 17, Iss , Pp 100575- (2024)
Druh dokumentu: article
ISSN: 2666-5204
DOI: 10.1016/j.resplu.2024.100575
Popis: Aims: To assess the DNR preferences of critical care-, anesthesia- and emergency medicine practitioners, to identify factors influencing decision-making, and to raise awareness for misconceptions concerning CPR outcomes. Methods: A nationwide multicenter survey was conducted in Switzerland confronting healthcare professionals with a case vignette of an adult patient with an out-of-hospital cardiac arrest (OHCA). The primary outcome was the rate of DNR Code Status vs. CPR Code Status when taking the perspective from a clinical case vignette of a 70-year-old patient. Secondary outcomes were participants’ personal preferences for DNR and estimates of survival with good neurological outcome after in- and out-of-hospital cardiac arrest. Results: Within 1803 healthcare professionals, DNR code status was preferred in 85% (n = 1532) in the personal perspective of the case vignette and 53.2% (n = 932) when making a decision for themselves. Main predictors for a DNR Code Status regarding the case vignette included preferences for DNR Code Status for themselves (n [%] 896 [58.5] vs. 87 [32.1]; adjusted odds ratio [OR] 2.97, 95% confidence interval [CI] 2.25–3.92; p
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