To resuscitate or not to resuscitate: a logistic regression analysis of physician-related variables influencing the decision

Emerg Med J. 2012 Sep;29(9):709-14. doi: 10.1136/emermed-2011-200206. Epub 2011 Sep 6.

Abstract

Objective: To determine whether variables in physicians' backgrounds influenced their decision to forego resuscitating a patient they did not previously know.

Methods: Questionnaire survey of a convenience sample of 204 physicians working in the departments of internal medicine, anaesthesiology and cardiology in 11 hospitals in Israel.

Results: Twenty per cent of the participants had elected to forego resuscitating a patient they did not previously know without additional consultation. Physicians who had more frequently elected to forego resuscitation had practised medicine for more than 5 years (p=0.013), estimated the number of resuscitations they had performed as being higher (p=0.009), and perceived their experience in resuscitation as sufficient (p=0.001). The variable that predicted the outcome of always performing resuscitation in the logistic regression model was less than 5 years of experience in medicine (OR 0.227, 95% CI 0.065 to 0.793; p=0.02).

Conclusion: Physicians' level of experience may affect the probability of a patient's receiving resuscitation, whereas the physicians' personal beliefs and values did not seem to affect this outcome.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Clinical Competence
  • Decision Making
  • Female
  • Humans
  • Israel
  • Logistic Models
  • Male
  • Middle Aged
  • Physician-Patient Relations
  • Physicians / psychology*
  • Referral and Consultation
  • Resuscitation Orders / psychology*
  • Self Report