Do-Not-Resuscitate Orders in Older Adults During Hospitalization: A Propensity Score-Matched Analysis.

Publication Date

2018

Journal Title

J Am Geriatr Soc

Abstract

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.

Volume Number

66

Issue Number

5

Pages

924-929

Document Type

Article

Status

Faculty, Northwell Researcher, Northwell Resident

Facility

School of Medicine; Northwell Health

Primary Department

General Internal Medicine

Additional Departments

Hospital Medicine; Occupational Medicine, Epidemiology and Prevention

PMID

29676777

DOI

10.1111/jgs.15347

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