do not resuscitate' orders: Incidence and implications in a medical intensive care unit

Title

do not resuscitate' orders: Incidence and implications in a medical intensive care unit

Creator

Youngner SJ; Lewandowski W; McClish DK; Juknialis BW; Coulton C; Bartlett ET

Publisher

Jama

Date

1985

Description

"Do not resuscitate" (DNR) decisions were examined in a medical intensive care unit (MICU) of a 1,000-bed hospital. Seventy-one (14%) of 506 study patients were designated DNR; nine survived hospitalization. Severity of illness, age, and prior health were predictive of DNR orders; race and socioeconomic factors were not. The DNR patients consumed more resources, both before and after DNR orders. Interventions started before DNR designation were continued in at least 76% of patients. Documented justifications of DNR decisions included poor prognosis (59%), poor quality of life (24%), and patients' wishes (15%). There were no written justifications for the DNR decisions in 30 cases (42%). Although willingness to write DNR orders in an MICU and continued active treatment of DNR patients are both reassuring in a general sense, they raise questions about the consistency of treatment plans and goals for individual patients.(JAMA 1985;253:54-57)
1985-01

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

54-57

Issue

1

Volume

253

Citation

Youngner SJ; Lewandowski W; McClish DK; Juknialis BW; Coulton C; Bartlett ET, “do not resuscitate' orders: Incidence and implications in a medical intensive care unit,” Pediatric Palliative Care Library, accessed July 2, 2022, https://pedpalascnetlibrary.omeka.net/items/show/12402.

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