dc.contributor.author | Schefold, Joerg C. | |
dc.contributor.author | Ruzzante, Livio | |
dc.contributor.author | Sprung, Charles L. | |
dc.contributor.author | Gruber, Anastasiia | |
dc.contributor.author | Søreide, Eldar | |
dc.contributor.author | Cosgrove, Joseph | |
dc.contributor.author | Mullick, Sudakshina | |
dc.contributor.author | Papathanakos, Georgios | |
dc.contributor.author | Koulouras, Vasilios | |
dc.contributor.author | Maia, Paulo Azevedo | |
dc.contributor.author | Ricou, Bara | |
dc.contributor.author | Posch, Martin | |
dc.contributor.author | Metnitz, Philipp | |
dc.contributor.author | Bülow, Hans-Henrik | |
dc.contributor.author | Avidan, Alexander | |
dc.date.accessioned | 2024-02-21T11:56:34Z | |
dc.date.available | 2024-02-21T11:56:34Z | |
dc.date.created | 2023-11-13T08:34:09Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Schefold, J. C., Ruzzante, L., Sprung, C. L., Gruber, A., Soreide, E., Cosgrove, J., ... & Avidan, A. (2023). The impact of religion on changes in end-of-life practices in European intensive care units: a comparative analysis over 16 years. Intensive care medicine, 49(11), 1339-1348. | en_US |
dc.identifier.issn | 0342-4642 | |
dc.identifier.uri | https://hdl.handle.net/11250/3118989 | |
dc.description.abstract | Purpose
Religious beliefs affect end-of-life practices in intensive care units (ICUs). Changes over time in end-of-life practices were not investigated regarding religions.
Methods
Twenty-two European ICUs (3 regions: Northern, Central, and Southern Europe) participated in both Ethicus-1 (years 1999–2000) and Ethicus-2 studies (years 2015–2016). Data of ICU patients who died or had limitations of life-sustaining therapy were analysed regarding changes in end-of-life practices and patient/physician religious affiliations. Frequencies, timing of decision-making, and religious affiliations of physicians/patients were compared using the same definitions.
Results
In total, 4592 adult ICU patients (n = 2807 Ethicus-1, n = 1785 Ethicus-2) were analysed. In both studies, patient and physician religious affiliations were mostly Catholic, Greek Orthodox, Jewish, Protestant, or unknown. Treating physicians (but not patients) commonly reported no religious affiliation (18%). Distribution of end-of-life practices with respect to religion and geographical regions were comparable between the two studies. Withholding [n = 1143 (40.7%) Ethicus-1 and n = 892 (50%) Ethicus-2] and withdrawing [n = 695 (24.8%) Ethicus-1 and n = 692 (38.8%) Ethicus-2] were most commonly decided. No significant changes in end-of-life practices were observed for any religion over 16 years. The number of end-of-life discussions with patients/ families/ physicians increased, while mortality and time until first decision decreased.
Conclusions
Changes in end-of-life practices observed over 16 years appear unrelated to religious affiliations of ICU patients or their treating physicians, but the effects of religiosity and/or culture could not be assessed. Shorter time until decision in the ICU and increased numbers of patient and family discussions may indicate increased awareness of the importance of end-of-life decision-making in the ICU. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Springer | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | The impact of religion on changes in end-of-life practices in European intensive care units: a comparative analysis over 16 years | en_US |
dc.title.alternative | The impact of religion on changes in end-of-life practices in European intensive care units: a comparative analysis over 16 years | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | The authors | en_US |
dc.subject.nsi | VDP::Medisinske Fag: 700 | en_US |
dc.source.pagenumber | 1339-1348 | en_US |
dc.source.volume | 49 | en_US |
dc.source.journal | Intensive Care Medicine | en_US |
dc.identifier.doi | 10.1007/s00134-023-07228-z | |
dc.identifier.cristin | 2195458 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |