Do-Not-Resuscitate Orders in Critical Care Elderly: No Age Discrimination Against Elderly in a Community Hospital

Cao, Louie

doi:10.1001/archinte.158.10.1154

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…However, whether these findings can be generalizable worldwide remains to be determined. Similar to general critical care, we observed that comfort care and DNR status were more frequent in countries with higher GNI [37].…”

Section: Implications Of the Prince Studysupporting

confidence: 62%

Global Survey of Outcomes of Neurocritical Care Patients: Analysis of the PRINCE Study Part 2

Investigators

2019

Neurocrit Care

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Background Neurocritical care is devoted to the care of critically ill patients with acute neurological or neurosurgical emergencies. There is limited information regarding epidemiological data, disease characteristics, variability of clinical care, and in-hospital mortality of neurocritically ill patients worldwide. We addressed these issues in the Point PRevalence In Neurocritical CarE (PRINCE) study, a prospective, cross-sectional, observational study. Methods We recruited patients from various intensive care units (ICUs) admitted on a pre-specified date, and the investigators recorded specific clinical care activities they performed on the subjects during their first 7 days of admission or discharge (whichever came first) from their ICUs and at hospital discharge. In this manuscript, we analyzed the final data set of the study that included patient admission characteristics, disease type and severity, ICU resources, ICU and hospital length of stay, and inhospital mortality. We present descriptive statistics to summarize data from the case report form. We tested differences between geographically grouped data using parametric and nonparametric testing as appropriate. We used a multivariable logistic regression model to evaluate factors associated with in-hospital mortality. Results We analyzed data from 1545 patients admitted to 147 participating sites from 31 countries of which most were from North America (69%, N = 1063). Globally, there was variability in patient characteristics, admission diagnosis, ICU treatment team and resource allocation, and in-hospital mortality. Seventy-three percent of the participating centers were academic, and the most common admitting diagnosis was subarachnoid hemorrhage (13%). The majority of patients were male (59%), a half of whom had at least two comorbidities, and median Glasgow Coma Scale (GCS) of 13. Factors associated with in-hospital mortality included age (OR 1.

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Section: Implications Of the Prince Studysupporting

confidence: 62%

Global Survey of Outcomes of Neurocritical Care Patients: Analysis of the PRINCE Study Part 2

Investigators

2019

Neurocrit Care

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“…19,20 The prevalence of DNR directives (32%) in this investigation is higher than the prevalence of DNR directives in community-dwelling and hospitalized older people, which ranges from 8% to 23%. 21,22 Two important areas of investigation will include determining whether this prevalence truly reflects resident preference for DNR directives and care is consistent with the stated preferences of residents admitted to SNFs under the Medicare benefit. These questions are of particular interest because of concern that DNR directives are written without input from the residents for whom they are written and that DNR directives may result in delivery of less care overall.…”

Section: State Variation In Dnr Directivesmentioning

confidence: 99%

Do‐Not‐Resuscitate and Do‐Not‐Hospitalize Directives of Persons Admitted to Skilled Nursing Facilities Under the Medicare Benefit

Levy

Fish

Kramer

2005

J American Geriatrics Society

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Do-Not-Resuscitate Orders in Critical Care Elderly: No Age Discrimination Against Elderly in a Community Hospital

Cited by 2 publications

References 17 publications

Global Survey of Outcomes of Neurocritical Care Patients: Analysis of the PRINCE Study Part 2

Global Survey of Outcomes of Neurocritical Care Patients: Analysis of the PRINCE Study Part 2

Do‐Not‐Resuscitate and Do‐Not‐Hospitalize Directives of Persons Admitted to Skilled Nursing Facilities Under the Medicare Benefit

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