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- Title
A video depicting resuscitation did not impact upon patients' decision-making.
- Authors
Richardson-Royer, Caitlin; Naqvi, Imran; Riffel, Christopher; Harvey, Lawrence; Smith, Domonique; Ayalew, Dagmawe; Motayar, Nasim; Amoateng-Adjepong, Yaw; Manthous, Constantine A
- Abstract
Background: Previous studies have demonstrated that video of and scripted information about cardiopulmonary resuscitation (CPR) can be deployed during clinician-patient end-of-life discussions. Few studies, however, examine whether video adds to verbal information-sharing. We hypothesized that video augments script-only decision-making. Methods: Patients aged >65 years admitted to hospital wards were randomized to receive evidence-based information ("script") vs. script plus video of simulated CPR and intubation. Patients' decisions registered in the hospital record, by hospital discharge were compared for the two groups. Results: Fifty script-only intervention patients averaging 77.7 years were compared to 50 script+video patients with a mean age of 74.7 years. Eleven of 50 (22%) in each group declined CPR; and an additional three (script) vs. four (script+video) refused intubation for respiratory failure. There were no differences in sex, self-reported health trajectory, functional limitations, length of stay, or mortality associated with decisions. Conclusion: The rate at which verbally informed hospitalized elders opted out of resuscitation was not impacted by adding a video depiction of CPR.
- Subjects
CARDIOPULMONARY resuscitation; DECISION making; HOSPITAL admission &; discharge; EVIDENCE-based medicine; TERMINAL care
- Publication
International Journal of General Medicine, 2018, Vol 11, p73
- ISSN
1178-7074
- Publication type
Article
- DOI
10.2147/IJGM.S147109