Moroccans' Views on Resuscitation According to Presumed Degree of Disability: A Cross-Sectional Study.

decision-making process handicap morocco palliative and supportive care réanimation

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jan 2023
Historique:
accepted: 06 01 2023
entrez: 11 1 2023
pubmed: 12 1 2023
medline: 12 1 2023
Statut: epublish

Résumé

According to the World Health Organization (WHO), disability is a public health problem that can be difficult to manage medically and financially. Disability can either be innate or develop after resuscitation. Therefore, the decision regarding whether to resuscitate a patient or not raises certain ethical questions, especially in the context of a Muslim country such as Morocco. The main aim of this study is to survey the public's opinions regarding their willingness to be resuscitated or have their relatives be resuscitated based on their foreseeable degree of disability. This cross-sectional study was conducted over a 10-month period and employed a self-administered questionnaire. The participants included were all adult (i.e., over 18 years of age) Moroccan nationals, and they were selected regardless of their religious identity. Moreover, the modified Rankin Scale (mRS) was used to measure the participants' foreseeable degree of handicap. The participants were divided into two groups: healthcare workers and non-healthcare workers. In total, 1083 questionnaires were retained. The average age of the participants was 30 (± 8) years, with the male-to-female sex ratio being 0.78. Moreover, 39.6% of the participants were healthcare workers. It was found that compared to the non healthcare workers, the healthcare professionals were more willing to be resuscitated themselves and have resuscitation performed on their relatives, but only when the degree of foreseeable disability was estimated to be absent or insignificant, whereas they were less willing to be resuscitated and have resuscitation performed on their relatives when the degree of foreseeable disability was estimated to be mild or higher. In conclusion, there should be a pre-established procedure, along with a legislative and multidisciplinary framework, within the hospital structures in order to help in the decision-making process regarding whether to resuscitate a patient or not.

Identifiants

pubmed: 36628402
doi: 10.7759/cureus.33460
pmc: PMC9822531
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e33460

Informations de copyright

Copyright © 2023, Benhamza et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Sabah Benhamza (S)

Anesthesiology and Critical Care, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Casablanca, MAR.

Laila Lahlou (L)

Epidemiology and Public Health, Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, MAR.

Mohammad Khalayla (M)

Anesthesiology and Critical Care, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Casablanca, MAR.

Mohamed Lazraq (M)

Anesthesiology and Critical Care, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Casablanca, MAR.

Youssef Miloudi (Y)

Anesthesiology and Critical Care, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Casablanca, MAR.

Abdelhak Bensaid (A)

Anesthesiology and Critical Care, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Casablanca, MAR.

Najib El Harrar (N)

Anesthesiology and Critical Care, Ibn Rochd University Hospital of Casablanca, Hassan II University of Casablanca, Casablanca, MAR.

Classifications MeSH