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Table 4 Shared decision-making process during serious illness conversations in LST

From: Validation of a checklist to facilitate serious illness conversations in adult emergency in China: a single-centre pilot study

Decision-making process

Total

(N = 325)

Baseline

(N = 157)

Intervention

(N = 168)

 

p

Goal of care (n, %)

    

0.835

 cure

158(48.6)

79(50.3)

79(47.0)

  

 relieve symptoms

143(44.0)

67(42.7)

76(45.2)

  

 palliative care

24(7.4)

11(7.0)

13(7.7)

  

Impact factors for decision on LST (n, %)

     

 Patient age

213(72.0)

91(71.1)

122(72.6)

 

0.772

 Life quality

124(41.9)

58(45.3)

66(39.3)

 

0.298

 Prognosis by medical team

116(39.2)

48(37.5)

68(40.5)

 

0.603

 Injury caused by intubation/CPR

93(31.4)

50(39.1)

43(25.6)

 

0.013*

 Patient value

79(26.7)

37(28.9)

42(25.0)

 

0.452

 Treatment expenditure

14(4.7)

7(5.5)

7(4.2)

 

0.601

Patient decisional capacity confirmed per proxy (n, %)

158(57.5)

60(56.0)

98(58.3)

 

0.543

Patient value expressed (n, %)

93(28.6)

47(29.9)

46(27.4)

 

0.611

Decision on LST (n, %)

     

 Consent on intubation

206(63.6)

106(67.9)

100(59.5)

 

0.115

 Consent on CPR

183(56.5)

97(62.2)

86(51.2)

 

0.046*

Final decision documented (n, %)

     

 Decision reversal on intubation

8(2.5)

6(3.8)

2(1.2)

 

0.126

 Decision reversal on CPR

18(5.5)

13(8.3)

5(3.0)

 

0.037*

  1. * p < 0.05