Evidence map›Paper›PMID 27324155›Full record

ArticleDer Anaesthesist2016

[Pre-operative documentation of individual in-patient therapy goals : A medical staff questionnaire].

K Umgelter, J Landscheidt, K Jäger, M Blobner, E Kochs

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Der Anaesthesist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Advance care planning in critical care : Potential and requirements].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

K UmgelterKlinik für Anaesthesiologie, Klinikum rechts der Isar, Technische Universität München, München, Germany. katrin.umgelter@lrz.tum.de.
J LandscheidtKlinik für Neurochirurgie, Klinikum Bogenhausen, Städtisches Klinikum München GmbH, München, Germany.
K JägerKlinik für Kardiologie, Pneumologie und Internistische Intensivmedizin, Klinikum Schwabing, Städtisches Klinikum München GmbH 1, München, Germany.
M BlobnerKlinik für Anaesthesiologie, Klinikum rechts der Isar, Technische Universität München, München, Germany.
E KochsKlinik für Anaesthesiologie, Klinikum rechts der Isar, Technische Universität München, München, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerioperative care demands consideration of individual treatment goals. We evaluated the attitudes of medical staff towards a short standardized advance directive (SSAD) as a means of improving patient-orientated care at the transition from operating theater to general or intensive care wards.

methodMulticenter anonymized standardized multiple-choice questionnaire among physicians and nurses from various operative and anesthesiology departments. Questions addressing demographic parameters and attitudes towards advance directives in acute care settings (eleven 4‑stepped Likert items). Univariate analysis of group comparisons using the chi-square and Kruskal-Wallis rank-sum test. Multivariable analysis of significant differences employing ordinal logistic regression.

resultsThe overall return rate was 28.2 % (169 questionnaires). Of these, 19.5 % said that existing advance directives were regularly reassessed preoperatively. SSAD was expected to provide improved emergency care by 82.3 and 76.6 % thought that it would help to better focus intensive care resources according to patients' needs. DISCUSSION: Our study shows the dilemma of insufficiently structured directives for changing treatment goals as well as a high number of legal procedures to obtain proxy decisions due to missing out-patient advance health planning. From a medical staff perspective there is strong support for the concept of SSAD based on medical, ethical, economic and organizational reasons.

Indexed as

DocumentationInpatientsAdultAdvance Directive AdherenceAgedAged, 80 and overAttitude of Health PersonnelCritical CareFemaleGoalsHumansMaleMedical StaffMiddle AgedPatient CarePersonnel, HospitalCritically illIntensive careMedical staffPerioperative careShort standardized advance directive (SSAD)

Identifiers

PMID27324155

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.