Evidence map›Paper›PMID 40225456›Full record

ArticleCureus2025

Knowledge, Awareness, and Perception of Advanced Medical Directives Among Patients and Their Relatives in the Critical Care Unit: A Pilot Study.

Ajay Kumar, Jyoti Barwa, Rattan Singh, Sahil Thakral, Apurba Patra

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Ajay KumarForensic Medicine and Toxicology, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Jyoti BarwaForensic Medicine and Toxicology, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Rattan SinghForensic Medicine and Toxicology, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Sahil ThakralForensic Medicine and Toxicology, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.
Apurba PatraAnatomy, All India Institute of Medical Sciences, Bathinda, Bathinda, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvance medical directives (AMDs) are legal documents that allow individuals to specify their medical care preferences in case they become incapacitated due to severe illness or injury. Understanding public awareness and attitudes toward AMDs is crucial for improving their implementation. MATERIALS AND

methodsA cross-sectional study was conducted in the critical care unit of a tertiary care hospital, involving 50 patients and their relatives over the age of 18 after taking informed written consent. A specially designed questionnaire was used to assess their awareness, understanding, and attitudes toward AMDs.

resultsThe study revealed significant gaps in awareness and adoption of AMDs. Notably, none of the female participants had prepared the AMDs, and all individuals who had prepared one were over the age of 60. Additionally, none of the Hindu participants had AMDs, while three (8.1%) Sikh participants had prepared one. Awareness of legal formalities, such as the need for notarization or witnessing, was low. Moreover, only a minority of participants were aware that healthcare institutions could decline to comply with an AMD.

conclusionsWhile some awareness of AMDs exists, the majority of the population remains unfamiliar with their guidelines and procedures. Targeted educational initiatives are essential to bridge this knowledge gap and promote informed decision-making regarding end-of-life care.

Indexed as

advance medical directivesdeathdo-not-resuscitatehealthcarelegislation as topicpalliative care

Identifiers

PMID40225456
PMCPMC11993433

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.