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Cited by 29Cardiac Arrest and ResuscitationPalliative Care and End-of-Life IssuesEthics and bioethics in healthcare

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Prevalence of advance directives and impact on advanced life support in out-of-hospital cardiac arrest victims

Reuter, Paul-Georges, Agostinucci, Jean-Marc, Bertrand, Philippe, Gonzalez, Géraldine, De Stefano, Carla, Hennequin, Brigitte, Nadiras, Pierre, Biens, Didier, Hubert, Hervé, Gueugniaud, Pierre-Yves, Adnet, Frédéric, Lapostolle, Frédéric·2017·Resuscitation
DOI 10.1016/j.resuscitation.2017.03.015
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Abstract

Aim To evaluate the prevalence of advance directives and their impact on the management of out-of-hospital cardiac arrest (OHCA) victims. Methods We analyzed data extracted from the French national registry of adult OHCA patients (RéAC). The data concerned the emergency medical services (EMS) of a Paris suburb over the period 01/01/2013 to 30/11/2015. The primary endpoint was the prevalence of advance directives. Secondary endpoints were the characteristics of the population, of cardiac arrest, and of basic life support as well as outcomes in patients with or without advance directives. Results Advance directives were available for 148/1985 (7.5%) of OHCA patients. Advanced life support was given to 35 patients with directives and 941 patients without (24% vs. 51%, p <0.0001) with no significant difference in the characteristics of the support provided. Spontaneous recovery of cardiac activity was observed in 5 patients with directives and in 217 patients without (14% vs. 23%, p=0.3). Among patients with advance directives, only one was admitted to hospital. He/she died within 24h of admission. Conclusion Advance directives were accessed by EMS for 7.5% OHCA patients. Despite their availability, advanced life support was provided to 24% of patients.

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Research works printed but not linked: 21

  1. Bossaert, 2015, The ethics of resuscitation and end-of-life decisions, Resuscitation, 95, 11
  2. Becker, 2013, Ethical challenges in Emergency Medical Services: controversies and recommendations, Prehosp Disaster Med, 28, 97, 10.1017/S1049023X13008728 · DOI
  3. Swig, 1996, Physician responses to a hospital policy allowing them to not offer cardiopulmonary resuscitation, J Am Geriatr Soc, 44, 9, 10.1111/j.1532-5415.1996.tb01372.x · DOI
  4. Chen, 2008, Impact of do-not-resuscitation orders on quality of care performance measures in patients hospitalized with acute heart failure, Am Heart J, 156, 78, 10.1016/j.ahj.2008.01.030 · DOI
  5. Jackson, 2004, Do-not-resuscitate orders in patients hospitalized with acute myocardial infarction: the Worcester Heart Attack Study, Arch Intern Med, 164, 776, 10.1001/archinte.164.7.776 · DOI
  6. Adnet, 2004, International EMS systems: France, Resuscitation, 63, 7, 10.1016/j.resuscitation.2004.04.001 · DOI
  7. Hubert, 2014, Rationale, methodology, implementation, and first results of the French out-of-hospital cardiac arrest registry, Prehosp Emerg Care, 18, 511, 10.3109/10903127.2014.916024 · DOI
  8. Rajagopal, 2016, Characteristics of patients who are not resuscitated in out of hospital cardiac arrests and opportunities to improve community response to cardiac arrest, Resuscitation, 109, 110, 10.1016/j.resuscitation.2016.09.014 · DOI
  9. Silveira, 2000, Patients’ knowledge of options at the end of life: ignorance in the face of death, JAMA, 284, 2483, 10.1001/jama.284.19.2483 · DOI
  10. Molloy, 2000, Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial, JAMA, 283, 1437, 10.1001/jama.283.11.1437 · DOI
  11. Gibbs, 2016, Themes and variations: an exploratory international investigation into resuscitation decision-making, Resuscitation, 103, 75, 10.1016/j.resuscitation.2016.01.020 · DOI · Paper page
  12. Jesus, 2013, Preferences for resuscitation and intubation among patients with do-not-resuscitate/do-not-intubate orders, Mayo Clin Proc, 88, 658, 10.1016/j.mayocp.2013.04.010 · DOI
  13. Jabre, 2013, Family presence during cardiopulmonary resuscitation, N Engl J Med, 368, 1008, 10.1056/NEJMoa1203366 · DOI
  14. Mockford, 2015, Do not attempt cardiopulmonary resuscitation (DNACPR) orders: a systematic review of the barriers and facilitators of decision-making and implementation, Resuscitation, 88, 99, 10.1016/j.resuscitation.2014.11.016 · DOI · Paper page
  15. Clements, 2014, Documentation of resuscitation decision-making: a survey of practice in the United Kingdom, Resuscitation, 85, 606, 10.1016/j.resuscitation.2014.02.005 · DOI · Paper page
  16. Cronin, 2015, Communication of hospital DNACPR orders in the discharge summary, Resuscitation, 97, e5, 10.1016/j.resuscitation.2015.09.383 · DOI
  17. Devalois, 2016, New Act concerning end of life: impact for medical practice?, Presse Médicale Paris Fr 1983, 45, 414
  18. Andorno, 2009, Advance health care directives: towards a coordinated European policy?, Eur J Health Law, 16, 207, 10.1163/157180909X453053 · DOI · Paper page
  19. Bhatia, 2015, Code status and resuscitation options in the electronic health record, Resuscitation, 87, 14, 10.1016/j.resuscitation.2014.10.022 · DOI · Paper page
  20. Jouffroy, 2015, Knowledge of “trusted person” and “advance directive” in end-of-life situations in prehospital emergency medicine 10 years after Leonetti's law publication, Eur J Emerg Med, 22, 445, 10.1097/MEJ.0000000000000278 · DOI
  21. Nordby, 2012, The ethics of resuscitation: how do paramedics experience ethical dilemmas when faced with cancer patients with cardiac arrest?, Prehosp Disaster Med, 27, 64, 10.1017/S1049023X1200026X · DOI

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Metadata

Authors
Reuter, P.-G., Agostinucci, J.-M., Bertrand, P., Gonzalez, G., De Stefano, C., Hennequin, B., Nadiras, P., Biens, D., Hubert, H., Gueugniaud, P.-Y., Adnet, F., & Lapostolle, F.
Affiliations
  • Université Sorbonne Paris Nord (FR)
  • Groupe Hospitalier Intercommunal Le Raincy Montfermeil (FR)
  • Centre hospitalier Robert-Ballanger (FR)
  • Université de Lille (FR)
  • Lyon 1 Université (FR)
Corresponding author
Reuter, Paul-Georges
ORCID
Venue
Resuscitation
Publisher
Elsevier BV
Published
2017-07
Volume
116
Pages
105-108
ISSN
0300-9572 (ISSN-L)
DOI
10.1016/j.resuscitation.2017.03.015
OpenAlex
W2596740623
Cited by
29
References
0
Citations by year
2026: 3 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 2
FWCI
3.35
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Resuscitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
advance directives, out-of-hospital cardiac arrest, advanced life support, basic life support, emergency medical services, cardiac arrest outcomes, end-of-life decisions
MeSH terms
Aged, Aged, 80 and over, Emergency Medical Services, Female, Humans, Male, Middle Aged, Paris, Registries, Advance Directives, Advanced Cardiac Life Support, Advance Directive Adherence, Out-of-Hospital Cardiac Arrest

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