Evidence map›Paper›PMID 42835303›Full record

ArticleResuscitation plus2026

Evaluation of adherence to national regulations for documentation of limitations of life-sustaining treatments after a limited intervention at a Swedish hospital.

Eva Piscator, Charlotte Ekestam, Lena Bremer, Umut Heilborn

Abstract read
In one paragraph

Article in Resuscitation plus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Eva PiscatorDepartment of Medicine Solna, Karolinska Institutet, Sweden.
Charlotte EkestamDepartment of Medicine, Capio St Göran's Hospital, Stockholm, Sweden.
Lena BremerDepartment of Medicine, Capio St Göran's Hospital, Stockholm, Sweden.
Umut HeilbornDepartment of Emergency Medicine, Capio St Göran's Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The aim of this study was to improve adherence to the Swedish National Board of Health and Welfare's regulations for documenting decisions regarding Limitations of Life-Sustaining Treatments at Capio St. Göran's Hospital in Stockholm following a limited intervention. Methods: This was a before-and-after-study. The intervention took place in June 2023 and consisted of three parts: 1. Implementation of a modified digital medical record form for documentation of decisions regarding limitations of Life-Sustaining Treatments. 2. A brief educational intervention for physicians at the hospital. 3. Publication of an updated hospital protocol for decisions on limitations of Life-Sustaining Treatments. We analysed 100 randomly selected documentations of limitation of Life-Sustaining Treatments in adult patients before the intervention, and 98 after the intervention. Adherence to individual mandatory criteria and overall adherence to the regulatory requirements was evaluated. Results: Overall adherence to all documentation regulations increased from 1% to 63% ( Conclusion: A moderate intervention in terms of cost and work effort for the organisation can significantly improve adherence to regulations regarding documentation of limitations of Life-Sustaining Treatments, although further improvement is needed.

Indexed as

DNACPRDNARDo not attempt cardiopulmonary resuscitationLegislation and jurisprudenceResuscitation ordersWithholding treatment

Identifiers

PMID42835303
PMCPMC13635549

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.