Key result
Insufficient ICD knowledge (present in 29% of patients) was associated with older age, mild cognitive impairment, and an unwillingness to discuss device deactivation at the end of life (P<0.05).
Why the study?
Does insufficient implantable cardioverter defibrillator knowledge affect attitudes toward end-of-life device deactivation in ICD recipients?
Population
270 implantable cardioverter defibrillator recipients, mean age 61 ± 14 years, 73% male, recruited from…
Design
Cross-sectional
Authors
Loading...
Insufficient ICD knowledge was associated with reluctance for end-of-life deactivation discussions; leaves open whether education improves attitudes in older or cognitively impaired patients.
Cross-Sectional (n=270)
Yes
Does insufficient implantable cardioverter defibrillator knowledge affect attitudes toward end-of-life device deactivation in ICD recipients?
p-value: p=<0.05
Insufficient knowledge about ICDs is common, particularly among older patients and those with mild cognitive impairment, and is associated with an unwillingness to discuss device deactivation at the end of life.
McEvedy et al. (2017) conducted a cross-sectional in Implantable cardioverter defibrillator recipients (n=270). Insufficient implantable cardioverter defibrillator knowledge vs. Sufficient implantable cardioverter defibrillator knowledge was evaluated on Attitudes suggesting unwillingness to discuss implantable cardioverter defibrillator deactivation (p=<0.05). Insufficient ICD knowledge (present in 29% of patients) was associated with older age, mild cognitive impairment, and an unwillingness to discuss device deactivation at the end of life (P<0.05).