Safety, quality & education

When is a person dead? The Canadian public’s understanding of death and death determination: a nationwide survey

Can J AnaesthPublished Cross-sectional study

Authors' conclusion

Among the Canadian public, the understanding of neurologic and circulatory death determination is variable. More uncertainty exists with death determination by neurologic criteria than with circulatory criteria.

Study context

Population
Representative sample of the Canadian public50.8% women
Participants
2,000 participants
Outcome
Understanding and perception of how death is determined in Canada (belief that a man meeting neurologic [scenario 1] or circulatory [scenario 2] death criteria was dead)
Methodological detailsnationwide, representative sample, survey
  • Nationwide
  • Representative sample
  • Survey

Main finding

As reported in the abstract

Belief that the man was dead

Scenario 1 (neurologic criteria): believed dead, n = 1,344

67.2%

Scenario 2 (circulatory criteria): believed dead, n = 1,623

81.2%

Observational data: associations, not effects.

Further findings

Predictors of disbelief in death, scenario 1 (neurologic)

Younger age, discomfort with the topic of death, subscribing to a religion

Predictors of disbelief in death, scenario 2 (circulatory)

Younger age, residing in Quebec (vs Ontario), high school education, subscribing to a religion

Factors that may increase agreement with death determination (respondents believing not dead or unsure)

More information on how death was determined, seeing brain imaging/test results, a third doctor's opinion

Interest in learning more about death and death determination

Interested
63.3%

Preferred information source

Their health care professional
50.9%
Written information provided by their health care professional
42.7%

Original publication

When is a person dead? The Canadian public’s understanding of death and death determination: a nationwide survey. Can J Anaesth. Published 2 May 2023. doi:10.1007/s12630-023-02409-2

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