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Table 1 Decision-making modalities based on fifteen criteria in all centres

From: Management of decision of withholding and withdrawing life-sustaining treatments in French EDs

 N = 145 medical recordsIC 95%
Collegiality of the decision-making process
Medical and paramedical collegial discussion60 (41.4%)[33.7; 49.5]
An external medical consultant was associated to the collegial discussion57 (39.3%)[31.7; 47.4]
The general practitioner of the patient was associated to the collegial discussion5 (3.4%)[1.5; 7.8]
Traceability
Traceability of the medical decision context98 (67.6%)[59.6; 74.7]
Traceability of the prognosis assessment53 (36.6%)[29.2; 44.6]
 ⑩Traceability of medical decision122 (84.1%)[77.3; 89.2]
 ⑪Traceability of therapeutic decisions after medical decision29 (20.0%)[14.3; 27.2]
 ⑫Traceability of the decision reevaluation34/50 (68.0%)[54.2; 79.2]
Management
Evaluation of the autonomy level and the quality of life of the patient82 (56.6%)[48.4; 64.3]
 ⑬Evaluation of physical and mental pain43/134 (32.1%)[24.8; 40.4]
 ⑭Management of pain and comfort care78/117 (66.7%)[57.7; 74.6]
Communication
Search for the patient’s will or advanced directives27 (18.6%)[13.1; 25.7]
If the patient is unable to express his will, questioning of the trusted person, family or friends54/136 (39.7%)[31.9; 48.1]
Information given to conscious patient about state of health or the relatives if the patient is unconscious patient111 (76.6%)[69.0; 82.7]
 ⑮Support for relatives2 (1.4%)[0.4; 4.9]