2025 Volume 8 Issue 1.2 Pages 89-95
[Purpose and Methods] To investigate the prevalence of advanced care planning (ACP) in cardiac arrest patients and the impact of advance directives obtained through ACP on subsequent medical care, we conducted a survey of 83 patients with cardiac arrest, excluding autopsy cases, who were transferred to our hospital. [Results] ACP was performed in 30 of 83 cases, and the ACP group was more likely to be elderly (p=0.014) and to be a nursing home resident (p<0.01). In the home care group, ACP was performed on elderly people and patients with underlying health conditions. If advance directive information on DNAR (Do not attempt resuscitation) was known before delivery, cardiopulmonary resuscitation could be terminated, but the information was not available in 11 cases. [Conclusion] It was thought that ACP may have been viewed as practical for the very elderly, patients with underlying health conditions, and people living in nursing home residents. Challenges remained in implementing ACP for people without underlying health conditions and elderly people living alone, and it was necessary to take steps to make information on advance directives known before delivery.
