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Hospitalized patients’ attitudes towards participating in a randomized control trial in case of a cardiac arrest
Department of Clinical Science and Education, Södersjukhuset, Centre for Resuscitation Science, Karolinska Institutet, Sweden.
Department of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Cardiology, Gothenburg, Sweden.ORCID iD: 0009-0003-6549-7089
Department of Clinical Science and Education, Södersjukhuset, Centre for Resuscitation Science, Karolinska Institutet, Sweden.
Norrtälje Hospital, Norrtälje, Sweden.
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2024 (English)In: Resuscitation Plus, ISSN 2666-5204, Vol. 18, article id 100645Article in journal (Refereed) Published
Abstract [en]

Background

No previous study has evaluated patients attitudes towards inclusion in an ongoing cardiac arrest clinical trial. The aim of this study was to assess patientś willingness and motives to participate in the ongoing randomized controlled drug trial “Vasopressin and Steroids in addition to Adrenaline in cardiac arrest” (VAST-A trial) in case of an in-hospital cardiac arrest (IHCA).

Objectives

Hospitalized patients, men ≥ 18 and women ≥ 50 years, were asked for informed consent for inclusion in the VAST-A trial in case of an IHCA, the reason for approving or declining inclusion in the trial and baseline characteristics.

Methods

Patients admitted to hospital were asked to give informed consent of inclusion in VAST-A in case of an IHCA during their hospital stay. Patients were also asked why they approved or declined inclusion as well as baseline characteristics questions.

Results

1,064 patients were asked about willingness to participate in the VAST-A trial, of these 902 (84.8%) patients approved inclusion. A subgroup of 411 patients were, except willingness, also asked about motives to participate or not and basic characteristics. The main reason for approving inclusion was to contribute to research (n = 328, 83.9%). The main reason for declining inclusion was concerns regarding testing the drug treatment (n = 6, 30%).

Conclusion

Among hospitalized patients the vast majority gave informed consent to inclusion in an ongoing randomized cardiac arrest drug trial. The main reason for approving inclusion was to contribute to research.

Place, publisher, year, edition, pages
2024. Vol. 18, article id 100645
Keywords [en]
Informed consen, tWaiver informed consent, Cardiac arrest
National Category
Cardiology and Cardiovascular Disease Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-32008DOI: 10.1016/j.resplu.2024.100645ISI: 001234957100001Scopus ID: 2-s2.0-85191287978OAI: oai:DiVA.org:hb-32008DiVA, id: diva2:1866616
Funder
Swedish Heart Lung FoundationAvailable from: 2024-06-07 Created: 2024-06-07 Last updated: 2025-09-24Bibliographically approved

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Lundgren, Peter

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