Table 3.
Question asked of physicians | Vignette
|
Mean
|
|||||
---|---|---|---|---|---|---|---|
A | B | C | D | E | F | (A–F) | |
Would you initiate mechanical ventilation? | * | * | * | * | 74 | 84 | |
Would you Withdraw mechanical ventilation? | 100 | 89 | 74 | 74 | * | * | 82 |
Would you order a feeding tube? | 100 | 89 | 79 | 79 | 58 | 95 | 83 |
Would you perform CPR? | 100 | 79 | 79 | 68 | 47 | 79 | 75 |
Would you initiate renal dialysis? | 100 | 84 | 79 | 73 | 68 | 84 | 81 |
Who is the appropriate surrogate? | 100 | 100 | 100 | 100 | 95 | 100 | 99 |
Would you pursue surgery? | * | 84 | * | * | * | * | -- |
Would you initiate antibiotics? | * | * | * | * | 63 | * | -- |
Patients’ overall agreement w/physicians’ response | 100 | 87 | 82 | 79 | 67 | 88 | 84 |
Question not asked for this clinical vignette
Vignettes:
- Hemorrhagic stroke that will recover, leaving mild physical deficits
- Traumatic brain hemorrhage with underlying poorly controlled chronic pain
- Severed C-spine, resulting in lifetime paralysis and mechanical ventilation
- Coma after head injury, anticipated to wake up, but with long-term mental deficits
- Renal failure and sepsis with underlying metastatic colon cancer
- Pneumonia, anorexia, and aggression with underlying Alzheimer’s dementia