Impact of near-death experiences on dialysis patients: a multicenter collaborative study.
BACKGROUND
People who have come close to death may report an unusual experience known as a near-death experience (NDE). This study aims to investigate NDEs and their aftereffects in dialysis patients.


METHODS
Cross-sectional study.


METHODS
710 dialysis patients at 7 centers in Taipei, Taiwan.


METHODS
Demographic characteristics, life-threatening experience, depression, and religiosity.


RESULTS
NDE and self-perceived changes in attitudes or behaviors.


METHODS
Greyson's NDE scale, Royal Free Questionnaire, 10-Question Survey, Ring's Weighted Core Experience Index, and Beck Depression Inventory.


RESULTS
45 patients had 51 NDEs. Mean NDE score was 11.9 (95% confidence interval, 11.0 to 12.9). Out-of-body experience was found in 51.0% of NDEs. Purported precognitive visions, awareness of being dead, and "tunnel experience" were uncommon (<10%). Compared with the no-NDE group, subjects in the NDE group were more likely to be women and younger at life-threatening events. Both frequency of participation in religious ceremonies and pious religious activity correlated significantly with NDE score in patients with NDEs (P < 0.01 and P = 0.01, respectively). The NDE group reported being kinder to others (P = 0.04) and more motivated (P = 0.02) after their life-threatening events than the no-NDE group.


CONCLUSIONS
Determining the incidence of NDEs is dependent on self-reporting. Many NDEs occurred before the patient began long-term dialysis therapy. Causality between NDE and aftereffects cannot be inferred.


CONCLUSIONS
NDE is not uncommon in the dialysis population and is associated with positive aftereffects. Nephrology care providers should be aware of the occurrence and aftereffects of NDEs. The high occurrence of life-threatening events, availability of medical records, and accessibility and cooperativeness of patients make the dialysis population very suitable for NDE research.
Lai
Chun-Fu
CF
Division of Nephrology, Department of Internal Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan.
Kao
Tze-Wah
TW
Wu
Ming-Shiou
MS
Chiang
Shou-Shang
SS
Chang
Chung-Hsin
CH
Lu
Chia-Sheng
CS
Yang
Chwei-Shiun
CS
Yang
Chih-Ching
CC
Chang
Hong-Wei
HW
Lin
Shuei-Liong
SL
Chang
Chee-Jen
CJ
Chen
Pei-Yuan
PY
Wu
Kwan-Dun
KD
Tsai
Tun-Jun
TJ
Chen
Wang-Yu
WY
D001293:Attitude to Death; D003430:Cross-Sectional Studies; D003643:Death; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008016:Life Change Events; D008875:Middle Aged; D012067:Religion; D006435:Renal Dialysis / Q000523:psychology*; D011795:Surveys and Questionnaires; D014511:Uremia