A video depicting resuscitation did not impact upon patients' decision-making
Authors Richardson-Royer C, Naqvi I, Riffel C, Harvey L, Smith D, Ayalew D, Motayar N, Amoateng-Adjepong Y, Manthous CA
Received 24 July 2017
Accepted for publication 18 October 2017
Published 12 February 2018 Volume 2018:11 Pages 73—77
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Scott Fraser
Caitlin Richardson-Royer,1 Imran Naqvi,1 Christopher Riffel,1 Lawrence Harvey,1 Domonique Smith,1 Dagmawe Ayalew,1 Nasim Motayar,1 Yaw Amoateng-Adjepong,1,2 Constantine A Manthous3
1The Jewish Hospital of Cincinnati, Cincinnati, OH, USA; 2Yale University School of Medicine, New Haven, CT, USA; 3Lawrence & Memorial Hospital, New London, CT, USA
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.
Keywords: end of life, cardiopulmonary resuscitation, CPR, intubation, mechanical ventilation, autonomy
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]