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@article{2243139, author = {Mentzelopoulos, Spyros D. and Couper, Keith and Raffay, Violetta and Djakow, Jana and Bossaert, Leo}, article_location = {Basel}, article_number = {14}, doi = {http://dx.doi.org/10.3390/jcm11144005}, keywords = {ethics; resuscitation; terminal care; surveys and questionnaires; emergency care}, language = {eng}, issn = {2077-0383}, journal = {Journal of Clinical Medicine}, title = {Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation}, url = {https://www.mdpi.com/2077-0383/11/14/4005}, volume = {11}, year = {2022} }
TY - JOUR ID - 2243139 AU - Mentzelopoulos, Spyros D. - Couper, Keith - Raffay, Violetta - Djakow, Jana - Bossaert, Leo PY - 2022 TI - Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation JF - Journal of Clinical Medicine VL - 11 IS - 14 SP - 1-7 EP - 1-7 PB - MDPI SN - 20770383 KW - ethics KW - resuscitation KW - terminal care KW - surveys and questionnaires KW - emergency care UR - https://www.mdpi.com/2077-0383/11/14/4005 N2 - 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. ER -
MENTZELOPOULOS, Spyros D., Keith COUPER, Violetta RAFFAY, Jana DJAKOW and Leo BOSSAERT. Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation. \textit{Journal of Clinical Medicine}. Basel: MDPI, 2022, vol.~11, No~14, p.~1-7. ISSN~2077-0383. Available from: https://dx.doi.org/10.3390/jcm11144005.
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