Key result
Among 3,067 ICD recipients, 29% had insufficient knowledge about end-of-life issues, which was associated with indecisiveness regarding ICD deactivation in terminal situations.
Population
3,067 ICD recipients recruited from the Swedish ICD and Pacemaker Registry
Design
Cross-sectional
Authors
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May prompt routine end-of-life preference discussions in ICD follow-up; leaves open whether education reduces terminal indecisiveness.
Cross-Sectional (n=3,067)
Yes
A nationwide Swedish survey reveals that ICD recipients have significant knowledge gaps regarding end-of-life device management, which correlates with reluctance to deactivate shock therapy during terminal illness.
Strömberg et al. (2014) conducted a cross-sectional in ICD recipients (n=3,067). Knowledge about ICD and end-of-life issues vs. Insufficient knowledge was evaluated on Knowledge score on 11 questions regarding ICD and end-of-life. Among 3,067 ICD recipients, 29% had insufficient knowledge about end-of-life issues, which was associated with indecisiveness regarding ICD deactivation in terminal situations.
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