Document Detail


To resuscitate or not to resuscitate: a logistic regression analysis of physician-related variables influencing the decision.
MedLine Citation:
PMID:  21900297     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ObjectiveTo determine whether variables in physicians' backgrounds influenced their decision to forego resuscitating a patient they did not previously know.MethodsQuestionnaire survey of a convenience sample of 204 physicians working in the departments of internal medicine, anaesthesiology and cardiology in 11 hospitals in Israel.ResultsTwenty 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).ConclusionPhysicians' 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.
Authors:
Sharon Einav; Gady Alon; Nechama Kaufman; Rony Braunstein; Sara Carmel; Joseph Varon; Moshe Hersch
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-6
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  -     ISSN:  1472-0213     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Emergency Medicine and Intensive Care Unit, Shaare Zedek Medical Centre, Hebrew University School of Medicine, Jerusalem, Israel.
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