Timing of Do-Not-Resuscitate Orders for Hospitalized Older Adults Who Require a Surrogate Decision-Maker

Autor:	Alexia M. Torke, Paul R. Helft, Christopher M. Callahan, Christianna Purnell, Greg A. Sachs, Sandra Petronio, Siu Hui
Rok vydání:	2011
Předmět:	Pediatrics medicine.medical_specialty Surrogate decision-maker business.industry Hazard ratio Retrospective cohort study Odds ratio Do Not Resuscitate Order Intensive care unit humanities Confidence interval law.invention law medicine Geriatrics and Gerontology business Cohort study
Zdroj:	Journal of the American Geriatrics Society. 59:1326-1331
ISSN:	0002-8614
DOI:	10.1111/j.1532-5415.2011.03480.x
Popis:	OBJECTIVES: To examine the frequency of surrogate decisions for in-hospital do-not-resuscitate (DNR) orders and the timing of DNR order entry for surrogate decisions. DESIGN: Retrospective cohort study. SETTING: Large, urban, public hospital. PARTICIPANTS: Hospitalized adults aged 65 and older over a 3-year period (1/1/2004�12/31/2006) with a DNR order during their hospital stay. MEASUREMENTS: Electronic chart review provided data on frequency of surrogate decisions, patient demographic and clinical characteristics, and timing of DNR orders. RESULTS: Of 668 patients, the ordering physician indicated that the DNR decision was made with the patient in 191 cases (28.9%), the surrogate in 389 (58.2%), and both in 88 (13.2%). Patients who required a surrogate were more likely to be in the intensive care unit (62.2% vs 39.8%, P
Databáze:	OpenAIRE
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