Association of Communication Interventions to Discuss Code Status With Patient Decisions for Do-Not-Resuscitate Orders | Zendy

Christoph Becker | Zendy; Leopold Lecheler | Zendy; Seraina Hochstrasser | Zendy; Kerstin Metzger | Zendy; Madlaina Widmer | Zendy; Emanuel Thommen | Zendy; Kathariienhaus | Zendy; Hannah Ewald | Zendy; Christoph A. Meier | Zendy; Florian Rueter | Zendy; Rainer Schaefert | Zendy; Stefano Bassetti | Zendy; Sabina Hunziker | Zendy

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Association of Communication Interventions to Discuss Code Status With Patient Decisions for Do-Not-Resuscitate Orders

Author(s) -

Christoph Becker,

Leopold Lecheler,

Seraina Hochstrasser,

Kerstin Metzger,

Madlaina Widmer,

Emanuel Thommen,

Kathariienhaus,

Hannah Ewald,

Christoph A. Meier,

Florian Rueter,

Rainer Schaefert,

Stefano Bassetti,

Sabina Hunziker

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.5033

Subject(s) - psychological intervention , psycinfo , medicine , cinahl , meta analysis , randomized controlled trial , medline , data extraction , subgroup analysis , clinical endpoint , nursing , law , political science

Key Points Question Is there an association between communication interventions and patient preference regarding do-not-resuscitate (DNR) code status decisions and knowledge regarding life-sustaining treatment? Findings In this systematic review and meta-analysis, the pooled meta-analysis of 11 randomized clinical trials involving 1463 patients showed a significant association between communication interventions and higher patient preference for a DNR code status. In an analysis of 5 eligible trials, communication interventions were also associated with better patient knowledge about resuscitation. Meaning Communication interventions may be an effective decision aid for code status discussions that potentially alter patient decisions regarding DNR code status and increase patient knowledge.

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