Evidence map›Paper›PMID 41078622›Full record

ArticleJournal of the Intensive Care Society2026

Do-not-attempt-cardiopulmonary resuscitation decisions in critical care: The gap between theory and practice.

Prashanth Nandhabalan, Thearina de Beer, Robert Tobin, Dan Harvey, Richard Innes, Aaron D'Sa, Victoria Metaxa

Abstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Prashanth NandhabalanRoyal Free Hospital, London, UK.ORCID https://orcid.org/0000-0002-0853-6155
Thearina de BeerNottingham University Hospitals NHS Trust, UK.
Robert TobinKennedys Law LLP, London, UK.
Dan HarveyNottingham University Hospitals NHS Trust, UK.
Richard InnesSomerset NHS Foundation Trust, Taunton, UK.
Aaron D'SaNorfolk and Norwich University Hospital, UK.ORCID https://orcid.org/0000-0003-1650-5532
Victoria MetaxaKing's College Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-4232-6845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The provision or withholding of Cardiopulmonary Resuscitation (CPR) is often a source of much controversy. Do-Not-Attempt CPR (DNACPR) decisions have been discussed extensively from an ethical and legal point, not to mention featuring heavily in the news. We aim to discuss various aspects of DNACPR decision-making with particular relevance to the Intensive Care environment. In doing so, we highlight important concepts associated with decision-making and common challenges encountered. Firstly, we provide a broad oversight of the current context in which such decisions are made before describing the principal ethical points of consideration and their relevance. This is followed by insights from a legal point as well as practical suggestions for approaching such decisions. It is hoped that these will help to assist clinicians with making such complex decisions under challenging circumstances.

Indexed as

autonomyDNACPRdo not resuscitate

Identifiers

PMID41078622
PMCPMC12507786

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.