Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2009  |  Volume : 20  |  Issue : 2  |  Page : 232--239

Advance care planning preferences among dialysis patients and factors influencing their decisions


Hamdan H Al-Jahdali1, Salim Bahroon2, Yaser Babgi3, Hani Tamim3, Saeed M Al-Ghamdi4, Abdullah A Al-Sayyari5 
1 Pulmonary Division, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
2 Intensive Care Departments, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
3 College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
4 Nephrology Division, King Faisal Specialist Hospital and Research Center-Jeddah, Saudi Arabia
5 Division of Nephrology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

Correspondence Address:
Hamdan H Al-Jahdali
Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426
Saudi Arabia

To determine the resuscitation preferences of hemodialysis (HD) Saudi patients, we con­ducted a cross-sectional, observational descriptive questionnaire study in two major tertiary hospitals in Saudi Arabia from March to December 2007. We enrolled all the patients on HD for two years or more, and excluded the patients who were transplant candidates, confused, or demented. The questionnaire was com­posed of 4 sections. The first 3 sections were concerned with demographic data, education levels, employ­ment, family size, number of children, and functionality status besides knowledge about cardiopulmonary resuscitation (CPR), mechanical ventilation, and ICU admission. The fourth section contained different sce­narios and questions on personal and preferences such as end of life decisions, medical interventions, CPR, ICU admission, and the decision maker in these events. A total of 100 patients (53% males, 67% Saudis, and 85% married) were enrolled in the study. The mean duration on dialysis was 6.0 years (± 4.1). More than 70% of the patients viewed themselves as above average in the religiosity score, and 44% disclosed a good life quality. More than 95% had little or no knowledge about cardiac resuscitation, intubation, and mechanical ventilation. The majority of the patients authorized their treating physician to decide for them about cardiac resuscitation in case they did not make advanced directives and only 22% believed that this decision should be made by their family members. If their physician believed their condition was hopeless, 77% preferred to stay at home. We conclude that the majority of our patients had limited awareness about cardiac resuscitation measures. The majority of the patients trust their physicians to decide about the futility of resuscitation. Patients were able to decide reasonably well when they are well informed.


How to cite this article:
Al-Jahdali HH, Bahroon S, Babgi Y, Tamim H, Al-Ghamdi SM, Al-Sayyari AA. Advance care planning preferences among dialysis patients and factors influencing their decisions.Saudi J Kidney Dis Transpl 2009;20:232-239


How to cite this URL:
Al-Jahdali HH, Bahroon S, Babgi Y, Tamim H, Al-Ghamdi SM, Al-Sayyari AA. Advance care planning preferences among dialysis patients and factors influencing their decisions. Saudi J Kidney Dis Transpl [serial online] 2009 [cited 2019 Dec 14 ];20:232-239
Available from: http://www.sjkdt.org/article.asp?issn=1319-2442;year=2009;volume=20;issue=2;spage=232;epage=239;aulast=Al-Jahdali;type=0