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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 3  |  Page : 447-453
Factors associated with decision-making about end-of-life care by hemodialysis patients


1 Intensive Care Department, King Saud Bin Abdulaziz University For Health Sciences, Riyadh, Saudi Arabia
2 Pulmonary Division, King Saud Bin Abdulaziz University For Health Sciences, Riyadh, Saudi Arabia
3 Nephrology Division, King Saud Bin Abdulaziz University For Health Sciences, Riyadh, Saudi Arabia
4 College of Medicine, King Saud Bin Abdulaziz University For Health Sciences, Riyadh, Saudi Arabia
5 Nephrology Division, King Faisal and Research Center Hospital, Jeddah, Saudi Arabia

Correspondence Address:
Salim A Baharoon
Consultant Critical Care, King Abdulaziz Medical City, King Fahad National Guard Hospital, P.O. Box 22490, Riyadh-11426
Saudi Arabia
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PMID: 20427867

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The current cross sectional study is based on a questionnaire database on patients with end-stage renal disease (ESRD) to determine their preferences about end-of-life care and differences of certainty regarding the application of cardiopulmonary resuscitation and life sus­taining measures in case of cardiac arrest. The study was performed on 100 patients on hemo­dialysis for at least 2 years and not on the transplant list in two tertiary hospitals in Saudi Arabia; King Fahad National Guard in Riyadh and King Faisal Specialist Hospital in Jeddah in March 2007. More than two thirds of the surveyed patients were willing to make decisive decisions. Ha­ving more than 5 children was the only factor significantly associated with the ability to make de­cisive decisions; there was an insignificant association with factors such as marital status or non­Saudi nationality. Factors such as self-perception or disease curability, previous admissions to hospital or intensive care units, prior knowledge of mechanical ventilation, or cardiopulmonary resuscitation did not have any influence on making certain decisions on end-of-life care. There was a significant lack of knowledge in our study patients of cardiopulmonary resuscitation, me­chanical ventilation, and disease outcome.


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