Evolution of European resuscitation and end-of-life practices from 2015 to 2019: a survey-based comparative evaluation.
Abstract
Background: In concordance with the results of large, observational studies, a 2015 European survey suggested variation in resuscitation/end-of-life practices and emergency care organization across 31 countries. The current survey-based study aimed to comparatively assess the evolution of practices from 2015 to 2019, especially in countries with "low" (i.e., average or lower) 2015 questionnaire domain scores.
Methods: The 2015 questionnaire with additional consensus-based questions was used. The 2019 questionnaire covered practices/decisions related to end-of-life care (domain A); determinants of access to resuscitation/post-resuscitation care (domain B); diagnosis of death/organ donation (domain C); and emergency care organization (domain D). Responses from 25 countries were analyzed. Positive or negative responses were graded by 1 or 0, respectively. Domain scores were calculated by summation of practice-specific response grades.
Results: Domain A and B scores for 2015 and 2019 were similar. Domain C score decreased by 1 point [95% confidence interval (CI): 1-3; p = 0.02]. Domain D score increased by 2.6 points (95% CI: 0.2-5.0; p = 0.035); this improvement was driven by countries with "low" 2015 domain D scores. In countries with "low" 2015 domain A scores, domain A score increased by 5.5 points (95% CI: 0.4-10.6; p = 0.047).
Conclusions: In 2019, improvements in emergency care organization and an increasing frequency of end-of-life practices were observed primarily in countries with previously "low" scores in the corresponding domains of the 2015 questionnaire.
Citations
Altmetric:
Date
2022-07-11
Type
Article
Subject
Practice of medicine, Paediatrics, Surgery
Collections
Citation
Mentzelopoulos SD, Couper K, Raffay V, Djakow J, Bossaert L. Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation. J Clin Med. 2022 Jul 11;11(14):4005. doi: 10.3390/jcm11144005
Journal / Source Title
Journal of Clinical Medicine
DOI
10.3390/jcm11144005
PMID
35887769
Publisher
MDPI
Publisher’s URL
http://www.mdpi.com/journal/jcm
https://www.ncbi.nlm.nih.gov/pmc/journals/2745/
https://www.ncbi.nlm.nih.gov/pmc/journals/2745/