Do Not Attempt Resuscitation (DNAR) discussions between ICU doctors and families in a Muslim hospital.
Official title: A Prospective Study Exploring Factors Affecting ICU Transitions and Handling of Code Status - Insights Into Physician and Family Communication in a Muslim Patient Population
Run by King Faisal Specialist Hospital & Research Center · NCT07243041 · Data updated 2026-11-12
This project asks ICU doctors at a Jeddah hospital to report right after DNAR and end-of-life conversations with adult patients' families to see what affects whether a DNAR decision is reached.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | King Faisal Specialist Hospital & Research Center Academic / other |
| Locations | 1 site (Jeddah, Mecca Region) |
| Status | Recruiting |
| Started | November 1, 2025 |
| Main results expected | October 31, 2027 |
| Study ends | October 31, 2027 |
| Registry record updated | December 19, 2025 |
| Trial ID | NCT07243041 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are ICU physicians (residents, fellows, or consultants) who conduct DNAR discussions with adult (≥18 years) ICU patients at KFSH&RC Jeddah and agree to complete brief post-discussion questionnaires.
✕Probably not a fit
Patients under 18, those treated outside the participating ICUs, or cases where physicians decline participation are unlikely to experience direct benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, mixed-methods observational project conducted over 24 months in adult ICUs at King Faisal Specialist Hospital & Research Centre, Jeddah. ICU physicians complete a brief structured questionnaire immediately after DNAR or goals-of-care discussions, and those responses are anonymously linked to de-identified electronic medical record data. A later qualitative phase will include interviews with physicians to put the quantitative findings in context. No patients or families are directly contacted; the aim is to identify clinical, cultural, religious, and institutional factors that shape DNAR decisions and communication outcomes.
Why it matters
Potential benefit: If successful, findings could lead to more culturally sensitive communication practices and physician training that improve clarity and alignment of end-of-life care for Muslim patients.
How similar studies have gone: Some observational and qualitative studies have explored end-of-life communication in other cultural settings, but real-time DNAR data from Muslim-majority ICUs remain limited, making this approach relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ICU physicians (residents, fellows, assistant consultants, or consultants) involved in direct patient care * ICU physicians who conduct code status or Do Not Attempt Resuscitation (DNAR) discussions with patients' families during ICU admission * Willingness of ICU physicians to participate voluntarily by completing a post-goals-of-care discussion questionnaire * Adult patients (≥18 years) admitted to the ICU during the study period for whom a code status discussion occurred Exclusion Criteria: * ICU physicians who decline participation * Code status discussions involving patients younger than 18 years of age * Discussions in which the physician was not directly involved
Where it's running
-
King Faisal Specialist Hospital & Research Center
Jeddah, Mecca Region, Saudi Arabia Recruiting
Study contacts
- Principal investigator: Imran Khalid — King Faisal Specialist Hospital & Research Center
- Study coordinator: Imran Khalid, MD
- Email: ikhalid97@kfshrc.edu.sa
- Phone: +966126677777
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.