A survey of key opinion leaders on ethical resuscitation practices in 31 European Countries

Resuscitation
Spyros D MentzelopoulosTheodoros T Xanthos

Abstract

Europe is a patchwork of 47 countries with legal, cultural, religious, and economic differences. A prior study suggested variation in ethical resuscitation/end-of-life practices across Europe. This study aimed to determine whether this variation has evolved, and whether the application of ethical practices is associated with emergency care organisation. A questionnaire covering four domains of resuscitation ethics was developed based on consensus: (A) Approaches to end-of-life care and family presence during cardiopulmonary resuscitation; (B) Determinants of access to best resuscitation and post-resuscitation care; (C) Diagnosis of death and organ donation (D) Emergency care organisation. The questionnaire was sent to representatives of 32 countries. Responses to 4-choice or 2-choice questions pertained to local legislation and common practice. Positive responses were graded by 1 and negative responses by 0; grades were reconfirmed/corrected by respondents from 31/32 countries (97%). For each resuscitation/end-of-life practice a subcomponent score was calculated by grades' summation. Subcomponent scores' summation resulted in domain total scores. Data from 31 countries were analysed. Domains A, B, and D total scores exhibited s...Continue Reading

Associated Clinical Trials

Sep 6, 2019·Spyros D. Mentzelopoulos

References

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Citations

Nov 18, 2016·Resuscitation·Paul Aelen, Gerrit J Noordergraaf
Aug 16, 2018·BMJ Supportive & Palliative Care·Charlie C HallEmma Carduff
Feb 25, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Anne-Sylvie RameletUNKNOWN Pediatric End-of-LIfe CAre Needs in Switzerland (PELICAN) Consortium
May 12, 2018·Intensive Care Medicine·Spyros D MentzelopoulosLeo Bossaert
Jun 8, 2021·Notfall & Rettungsmedizin·Spyros D MentzelopoulosLeo Bossaert
Aug 19, 2021·Nursing in Critical Care·Gro FrivoldRanveig Lind

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