A Video to Improve Patient and Surrogate Understanding of Cardiopulmonary Resuscitation Choices in the ICU: A Randomized Controlled Trial*
Abstract
Objective To determine if a video depicting cardiopulmonary resuscitation and resuscitation preference options would improve knowledge and decision making among patients and surrogates in the ICU. Design Randomized, unblinded trial. Setting Single medical ICU. Patients Patients and surrogate decision makers in the ICU. Interventions The usual care group received a standard pamphlet about cardiopulmonary resuscitation and cardiopulmonary resuscitation preference options plus routine code status discussions with clinicians. The video group received usual care plus an 8-minute video that depicted cardiopulmonary resuscitation, showed a simulated hospital code, and explained resuscitation preference options. Measurements and main results One hundred three patients and surrogates were randomized to usual care. One hundred five patients and surrogates were randomized to video plus usual care. Median total knowledge scores (0-15 points possible for correct answers) in the video group were 13 compared with 10 in the usual care group, p value of less than 0.0001. Video group participants had higher rates of understanding the purpose of cardiopulmonary resuscitation and resuscitation options and terminology and could correctly name components of cardiopulmonary resuscitation. No statistically significant differences in documented resuscitation preferences following the interventions were found between the two groups, although the trial was underpowered to detect such differences. A maj…
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Some recent studies found that family support interventions did not reduce psychological symptoms in family members.
“However, some recent studies found that family support interventions did not reduce psychological symptoms in family members. 66,67,75,79”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [79]
Educational CPR videos and structured patient-centred interviews can be helpful in decision making, with more patients likely to forgo CPR and focus on comfort.
“Educational CPR videos and structured patient-centred interviews can be helpful in decision making with more patients likely to forgo CPR and focus on comfort. 4,45,70,273,274”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [70]
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- Authors
- Wilson, M. E., Krupa, A., Hinds, R. F., Litell, J. M., Swetz, K. M., Akhoundi, A., Kashyap, R., Gajic, O., & Kashani, K.
- Affiliations
- University of Hawaiʻi at Mānoa (US)
- Mayo Clinic (US)
- Beth Israel Deaconess Medical Center (US)
- ORCID
- Venue
- Critical Care Medicine
- Published
- 2015-03
- Volume
- 43
- Issue
- 3
- Pages
- 621-629
- ISSN
- 0090-3493 (ISSN-L)
- OpenAlex
- W2312302709
- Cited by
- 63
- References
- 36
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 3 · 2023: 4 · 2022: 8 · 2021: 7 · 2020: 2 · 2019: 9 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 5
- FWCI
- 4.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Critical Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Clinic
- Mayo Foundation for Medical Education and Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Keywords
- cardiopulmonary resuscitation, resuscitation preferences, advance care planning, surrogate decision-making, patient education, educational videos, intensive care unit, code status discussions, patient knowledge
- MeSH terms
- Adult, Aged, Decision Making, Female, Humans, Intensive Care Units, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Education as Topic, Socioeconomic Factors, Videotape Recording, Cardiopulmonary Resuscitation
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