Do-Not-Resuscitate Orders in Older Adults During Hospitalization: A Propensity Score-Matched Analysis.
J Am Geriatr Soc
OBJECTIVES: To explore the effect of the presence and timing of a do-not-resuscitate (DNR) order on short-term clinical outcomes, including mortality.
DESIGN: Retrospective cohort study with propensity score matching to enable direct comparison of DNR and no-DNR groups.
SETTING: Large, academic tertiary-care center.
PARTICIPANTS: Hospitalized medical patients aged 65 and older.
MEASUREMENTS: Primary outcome was in-hospital mortality. Secondary outcomes included discharge disposition, length of stay, 30-day readmission, restraints, bladder catheters, and bedrest order.
RESULTS: Before propensity score matching, the DNR group (n=1,347) was significantly older (85.8 vs 79.6, p
CONCLUSION: Our study underscores the strong association between presence of a DNR order and mortality. Further studies are necessary to better understand the presence and timing of DNR orders in hospitalized older adults.
Faculty; Northwell Researcher; Northwell Resident
School of Medicine; Northwell Health
General Internal Medicine
Hospital Medicine; Occupational Medicine, Epidemiology and Prevention