Care of terminally-ill patients: an opinion survey among critical care healthcare providers in the Middle East

Afr Health Sci. 2013 Dec;13(4):893-8. doi: 10.4314/ahs.v13i4.5.

Abstract

Background: Modern medicine has allowed physicians to support the dying terminally-ill patient with artificial means. However, a common dilemma faced by physicians in general, and intensivist in particular is when to limit or withdraw aggressive intervention.

Objective: To study the effect of training background and seniority on Do-not to resuscitate (DNR) decisions in the Middle East.

Methods: Anonymous questionnaire sent to members of the Pan Arab Society of Critical Care.

Results: The response rate was 46.2%. Most of the responders were Muslim (86%) and consultants (70.9%). Majority of the responders were trained in western countries. Religion played a major role in 59.3% for making the DNR decision. DNR was considered equivalent to comfort care by 39.5%. In a futile case scenario, Do Not Escalate Therapy was preferred (54.7%). The likelihood of a patient, once labeled DNR, being clinically neglected was a concern among 46.5%. Admission of DNR patients to the ICU was acceptable for 47.7%. Almost one-half of the responders (46.5%) wanted physicians to have the ultimate authority in the DNR decision. Training background was a significant factor affecting the interpretation of the term no code DNR (P< 0.008).

Conclusion: Training background and level of seniority in critical care provider does not impact opinion on most of end of life issues related to care of terminally-ill patients. However, DNR is considered equivalent to comfort care among majority of Middle Eastern trained physicians.

Keywords: Do-not resuscitate; Islam; care of terminally-ill; opinion; training.

MeSH terms

  • Attitude of Health Personnel*
  • Critical Care*
  • Decision Making*
  • Female
  • Health Care Surveys
  • Health Personnel / psychology*
  • Humans
  • Male
  • Middle Aged
  • Middle East
  • Resuscitation Orders*
  • Surveys and Questionnaires
  • Terminally Ill*