Table 4.
Shared decision-making process during serious illness conversations in LST
| 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* |
* p < 0.05