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Table 1 Decision-making modalities based on fifteen criteria in all centres

From: Management of decision of withholding and withdrawing life-sustaining treatments in French EDs

 

N = 145 medical records

IC 95%

Collegiality of the decision-making process

 ④

Medical and paramedical collegial discussion

60 (41.4%)

[33.7; 49.5]

 ⑥

An external medical consultant was associated to the collegial discussion

57 (39.3%)

[31.7; 47.4]

 ⑤

The general practitioner of the patient was associated to the collegial discussion

5 (3.4%)

[1.5; 7.8]

Traceability

 ①

Traceability of the medical decision context

98 (67.6%)

[59.6; 74.7]

 ③

Traceability of the prognosis assessment

53 (36.6%)

[29.2; 44.6]

 ⑩

Traceability of medical decision

122 (84.1%)

[77.3; 89.2]

 ⑪

Traceability of therapeutic decisions after medical decision

29 (20.0%)

[14.3; 27.2]

 ⑫

Traceability of the decision reevaluation

34/50 (68.0%)

[54.2; 79.2]

Management

 ②

Evaluation of the autonomy level and the quality of life of the patient

82 (56.6%)

[48.4; 64.3]

 ⑬

Evaluation of physical and mental pain

43/134 (32.1%)

[24.8; 40.4]

 ⑭

Management of pain and comfort care

78/117 (66.7%)

[57.7; 74.6]

Communication

 ⑦

Search for the patient’s will or advanced directives

27 (18.6%)

[13.1; 25.7]

 ⑧

If the patient is unable to express his will, questioning of the trusted person, family or friends

54/136 (39.7%)

[31.9; 48.1]

 ⑨

Information given to conscious patient about state of health or the relatives if the patient is unconscious patient

111 (76.6%)

[69.0; 82.7]

 ⑮

Support for relatives

2 (1.4%)

[0.4; 4.9]