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Exploring end-of-life decision-making in China for disorders of consciousness

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Title: Exploring end-of-life decision-making in China for disorders of consciousness
Authors: Meiqi Li, Benedetta Cecconi, Olivia Gosseries, Lijuan Cheng, Yifan Yan, Yan Chen, Yan Li, Steven Laureys, Haibo Di
Contributors: NSCF - National Natural Science Foundation of China
Source: Ann Med
Annals of Medicine, Vol 56, Iss 1 (2024)
Publisher Information: Informa UK Limited, 2024.
Publication Year: 2024
Subject Terms: Male, Adult, Sciences sociales & comportementales, psychologie, China, Attitude of Health Personnel, Decision Making, Terminal Care/ethics, Decision Making/ethics, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Withdrawal of life-sustaining treatment, Surveys and Questionnaires, Humans, Consciousness Disorders/therapy, Neurosciences & comportement, disorders of consciousness, Resuscitation Orders, Aged, Terminal Care, Neurosciences & behavior, Terminal Care/psychology, Medicine (all), decision-making, Middle Aged, ethics, do-not-resuscitation orders, Neurology, Withholding Treatment, Withholding Treatment/ethics, Social & behavioral sciences, psychology, Resuscitation Orders/ethics, Medicine, Consciousness Disorders, Female
Description: We aim to investigate the ethical attitudes of the Chinese population toward withdrawal of life-sustaining treatment (WLST) in disorders of consciousness (DoC) patients. A self-administered questionnaire concerning WLST was distributed to Chinese medical professionals and non-medical participants between February and July 2022. Statistical analysis included chi-square tests and logistic regressions. A total of 1223 Chinese participants responded to the questionnaire (39% of whom were medical professionals). Less than one third of participants reported positive attitudes towards withdrawing artificial nutrition and hydration (ANH), antibiotics, and do-not-resuscitation (DNR) orders in patients with unresponsive wakefulness syndrome (UWS) (30%, 24%, 24%) and minimally conscious state (MCS) (23%, 19%, 15%). More respondents agreed with WLST in UWS compared to MCS (p 5000 RMB and medical profession (p
Document Type: Article
Other literature type
Language: English
ISSN: 1365-2060
0785-3890
DOI: 10.1080/07853890.2024.2423794
DOI: 10.6084/m9.figshare.27907310.v1
DOI: 10.6084/m9.figshare.27907310
Access URL: https://pubmed.ncbi.nlm.nih.gov/39587778
https://doaj.org/article/b7660991879348cd8fe9c685a9c4c36f
Rights: CC BY
URL: http://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Accession Number: edsair.doi.dedup.....8b3018565b6701bfd00f2c0919bcd62d
Database: OpenAIRE
Description
Abstract:We aim to investigate the ethical attitudes of the Chinese population toward withdrawal of life-sustaining treatment (WLST) in disorders of consciousness (DoC) patients. A self-administered questionnaire concerning WLST was distributed to Chinese medical professionals and non-medical participants between February and July 2022. Statistical analysis included chi-square tests and logistic regressions. A total of 1223 Chinese participants responded to the questionnaire (39% of whom were medical professionals). Less than one third of participants reported positive attitudes towards withdrawing artificial nutrition and hydration (ANH), antibiotics, and do-not-resuscitation (DNR) orders in patients with unresponsive wakefulness syndrome (UWS) (30%, 24%, 24%) and minimally conscious state (MCS) (23%, 19%, 15%). More respondents agreed with WLST in UWS compared to MCS (p 5000 RMB and medical profession (p
ISSN:13652060
07853890
DOI:10.1080/07853890.2024.2423794