ReviewCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2003
Determining resuscitation preferences of elderly inpatients: a review of the literature.
Review in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Canadian Cardiovascular Society Consensus Conference guidelines on heart failure--2008 update: best practices for the transition of care of heart failure patients, and the recognition, investigation and treatment of cardiomyopathies.The Canadian journal of cardiology · 2008Guideline
- By Their Side, Not on Their Chest: Ethical Arguments to Allow Residential Aged Care Admission Policies to Forego Full Cardiac Resuscitation.Journal of bioethical inquiry · 2025Article
- Shared Decision-Making in Severe Aortic Stenosis: Experiences and Needs of Older Patients.The Journal of cardiovascular nursing · 2025Article
- Determinants of decision-making for the initiation of resuscitation: a mixed-methods systematic review of barriers and facilitators.International journal of emergency medicine · 2024Review
- Comprehensive geriatric assessment as an essential tool to register or update DNR codes in a tertiary care hospital.European geriatric medicine · 2024Article
- What matters and influence resuscitation preference? Development, field testing, and structural validation of items among older patients in the emergency department.BMC geriatrics · 2022Article
- Complex conversations in a healthcare setting: experiences from an interprofessional workshop on clinician-patient communication skills.BMC medical education · 2021Article
- Code Status Documentation Availability and Accuracy Among Emergency Patients with End-stage Disease.The western journal of emergency medicine · 2021Article
- Decreased Glasgow Coma Scale score in medical patients as an indicator for intubation in the Emergency Department: Why are we doing it?Clinics (Sao Paulo, Brazil) · 2021Article
- Death and do-not-resuscitate order in the emergency department: A single-center three-year retrospective study in the Chinese mainland.World journal of emergency medicine · 2020Article
- The exploration of the knowledge, attitudes and practice behaviors of advanced care planning and its related predictors among Taiwanese nurses.BMC palliative care · 2019Article
- Action research study on advance care planning for residents and their families in the long-term care facility.BMC palliative care · 2019Article
- Predictors Associated with Survival Among Elderly In-Patients Who Receive Cardiopulmonary Resuscitation in Japan: An Observational Cohort Study.Journal of general internal medicine · 2019Observational
- Early and late do-not-resuscitate (DNR) decisions in patients with terminal COPD: a retrospective study in the last year of life.International journal of chronic obstructive pulmonary disease · 2018Article
- Article
- The Natural History of Changes in Preferences for Life-Sustaining Treatments and Implications for Inpatient Mortality in Younger and Older Hospitalized Adults.Journal of the American Geriatrics Society · 2016Article
- Should a reversible, but lethal, incident not be treated when a patient has a do-not-resuscitate order?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Article
- Evaluation of nurses' perceptions on providing patient decision support with cardiopulmonary resuscitation.ISRN nursing · 2012Article
- Factors influencing ICU referral at the end of life in the elderly.Zeitschrift fur Gerontologie und Geriatrie · 2010Article
- An audit of "do not attempt resuscitation" decisions in two district general hospitals: do current guidelines need changing?Postgraduate medical journal · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Studies have shown that discussions with elderly hospital patients about cardiopulmonary resuscitation (CPR) preferences occur infrequently and have variable content. Our objective was to identify themes in the existing literature that could be used to increase the frequency and improve the quality of such discussions. We found that patients and families are familiar with the concept of CPR but have limited understanding of the procedure and overestimate its benefit. Most patients are interested in being involved in discussions about CPR and in sharing responsibility for decisions with physicians; however, older patients who participate in these discussions may have variable decision-making capacity. Physicians do not routinely discuss CPR with older patients, and patients do not initiate such discussions. When discussions do occur, the information provided to patients or families about resuscitation and its outcomes is not always consistent. Physicians should initiate CPR discussions, consider patients' levels of understanding and decision-making capacity, share responsibility for decisions where appropriate and involve the family where possible. Documentation of discussions and patient preferences may help to minimize misunderstandings and increase the stability of the decision during subsequent admissions to hospital.
Indexed as
Identifiers
14557319PMC203283What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.