Evaluation of the do not resuscitate orders at a community hospital
| Autor: | C J, Stolman, J J, Gregory, D, Dunn, B, Ripley |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
Aged 80 and over Male Physician-Patient Relations Resuscitation Right to Die Hospitals Community Length of Stay Middle Aged Hospital Records Control Groups Intensive Care Units Hospital Administration Withholding Treatment Evaluation Studies as Topic Humans Female Nursing Care Prospective Studies Policy Making Aged |
| Zdroj: | Archives of internal medicine. 149(8) |
| ISSN: | 0003-9926 |
| Popis: | Demographic, medical, and outcome characteristics for 821 do not resuscitate (DNR) patients were compared with 300 age- and sex-matched control patients, and with 230 patients for whom cardiopulmonary resuscitation had been performed. Do not resuscitate patients were more likely to be female and older than cardiopulmonary resuscitation patients and to have a child as next of kin. Although DNR patients in intensive care units had comparable illness levels before and at the time of the order, treatment levels were reduced when the order was written. In general, DNR patients received more nursing care than other patients. Hospital mortality was 59.8% for DNR, 83.9% for CPR, and 1.7% for control patients. We identified diagnosis, prior activity, hospital unit, and employment status as predictors of DNR. According to documentation, 20% of patients participated in the DNR decision. Introduction of a DNR progress note form significantly improved documentation of the DNR process, but further efforts to improve DNR practice and patient participation are recommended. |
| Databáze: | OpenAIRE |
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