Literature DB >> 21900297

To resuscitate or not to resuscitate: a logistic regression analysis of physician-related variables influencing the decision.

Sharon Einav1, Gady Alon, Nechama Kaufman, Rony Braunstein, Sara Carmel, Joseph Varon, Moshe Hersch.   

Abstract

OBJECTIVE: To determine whether variables in physicians' backgrounds influenced their decision to forego resuscitating a patient they did not previously know.
METHODS: Questionnaire survey of a convenience sample of 204 physicians working in the departments of internal medicine, anaesthesiology and cardiology in 11 hospitals in Israel.
RESULTS: Twenty per cent of the participants had elected to forego resuscitating a patient they did not previously know without additional consultation. Physicians who had more frequently elected to forego resuscitation had practised medicine for more than 5 years (p=0.013), estimated the number of resuscitations they had performed as being higher (p=0.009), and perceived their experience in resuscitation as sufficient (p=0.001). The variable that predicted the outcome of always performing resuscitation in the logistic regression model was less than 5 years of experience in medicine (OR 0.227, 95% CI 0.065 to 0.793; p=0.02).
CONCLUSION: Physicians' level of experience may affect the probability of a patient's receiving resuscitation, whereas the physicians' personal beliefs and values did not seem to affect this outcome.

Entities:  

Mesh:

Year:  2011        PMID: 21900297     DOI: 10.1136/emermed-2011-200206

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  4 in total

1.  The Natural History of Changes in Preferences for Life-Sustaining Treatments and Implications for Inpatient Mortality in Younger and Older Hospitalized Adults.

Authors:  Yan S Kim; Gabriel J Escobar; Scott D Halpern; John D Greene; Patricia Kipnis; Vincent Liu
Journal:  J Am Geriatr Soc       Date:  2016-04-27       Impact factor: 5.562

2.  Agreement with evidence for tissue Plasminogen Activator use among emergency physicians: a cross-sectional survey.

Authors:  Alice M Grady; Jamie Bryant; Mariko L Carey; Christine L Paul; Rob W Sanson-Fisher; Christopher R Levi
Journal:  BMC Res Notes       Date:  2015-06-26

3.  Culture and personal influences on cardiopulmonary resuscitation- results of international survey.

Authors:  Janet Ozer; Gadi Alon; Dmitry Leykin; Joseph Varon; Limor Aharonson-Daniel; Sharon Einav
Journal:  BMC Med Ethics       Date:  2019-12-26       Impact factor: 2.652

4.  Reversals and limitations on high-intensity, life-sustaining treatments.

Authors:  Gustavo Chavez; Ilana B Richman; Rajani Kaimal; Jason Bentley; Lee Ann Yasukawa; Russ B Altman; Vyjeyanthi S Periyakoil; Jonathan H Chen
Journal:  PLoS One       Date:  2018-02-28       Impact factor: 3.240

  4 in total

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