Cardiac arrest & resuscitation
Quantifying physician’s bias to terminate resuscitation. The TERMINATOR study
Authors' conclusion
We demonstrate the existence of individual physician biases in their decision about TOR. The impact of this bias is greater than that of a no-flow duration lasting ten to twenty minutes.
Study context
- Population
- OHCAs managed January 2013–September 2021, RéAC registry173 physicians
- Participants
- 5,144 participants
- Outcome
- Physician effect (random effect) on binary TOR decision
Methodological detailsgeneralized linear mixed models
- Generalized linear mixed models
Main finding
As reported in the abstract
Physician effect on TOR decision
- Significant physician effect on termination of resuscitation (TOR) decision
- p < 0.001
- OR for doctor effect (doctor one SD above the mean)
- 2.48 [2.13-2.94]
- OR for dependency for activities of daily living
- 41.18 [24.69-65.50]
- OR for age >85 years
- 38.60 [28.67-51.08]
- OR for no-flow duration 10 to 20 minutes
- 1.60 [1.26-2.00]
Observational data: associations, not effects.
Original publication
Quantifying physician’s bias to terminate resuscitation. The TERMINATOR study. Resuscitation. Published 5 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →