ArticleBMC medical ethics2010
The role of advance directives in end-of-life decisions in Austria: survey of intensive care physicians.
Article in BMC medical ethics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Physician-related barriers to communication and patient- and family-centred decision-making towards the end of life in intensive care: a systematic review.Critical care (London, England) · 2014Pooled it
- Managing end-of-life decision making in intensive care medicine--a perspective from Charité Hospital, Germany.PloS one · 2012Trial
- Validation of a checklist to facilitate serious illness conversations in adult emergency in China: a single-centre pilot study.BMC emergency medicine · 2024Article
- Trends and Patterns in the Public Awareness of Palliative Care, Euthanasia, and End-of-Life Decisions in 3 Central European Countries Using Big Data Analysis From Google: Retrospective Analysis.Journal of medical Internet research · 2021Article
- Advance directives in Austrian intensive care units: An analysis of prevalence and barriers.Resuscitation plus · 2020Article
- Variables that influence the medical decision regarding Advance Directives and their impact on end-of-life care.Einstein (Sao Paulo, Brazil) · 2020Review
- Doctors' perspectives on adhering to advance care directives when making medical decisions for patients: an Australian interview study.BMJ open · 2019Article
- Survey on German Palliative Care Specialists' Experiences with Advance Directives.Pain and therapy · 2017Article
- Development process and initial validation of the Ethical Conflict in Nursing Questionnaire-Critical Care Version.BMC medical ethics · 2013Article
- Inapplicability of advance directives in a paternalistic setting: the case of a post-communist health system.BMC medical ethics · 2011Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrently, intensive care medicine strives to define a generally accepted way of dealing with end-of-life decisions, therapy limitation and therapy discontinuation.In 2006 a new advance directive legislation was enacted in Austria. Patients may now document their personal views regarding extension of treatment. The aim of this survey was to explore Austrian intensive care physicians' experiences with and their acceptance of the new advance directive legislation two years after enactment (2008).
methodsUnder the aegis of the OEGARI (Austrian Society of Anaesthesiology, Resuscitation and Intensive Care) an anonymised questionnaire was sent to the medical directors of all intensive care units in Austria. The questions focused on the physicians' experiences regarding advance directives and their level of knowledge about the underlying legislation.
resultsThere were 241 questionnaires sent and 139 were turned, which was a response rate of 58%. About one third of the responders reported having had no experience with advance directives and only 9 directors of intensive care units had dealt with more than 10 advance directives in the previous two years. Life-supporting measures, resuscitation, and mechanical ventilation were the predominantly refused therapies, wishes were mainly expressed concerning pain therapy.
conclusionA response rate of almost 60% proves the great interest of intensive care professionals in making patient-oriented end-of-life decisions. However, as long as patients do not make use of their right of co-determination, the enactment of the new law can be considered only a first important step forward.
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