Pre-existing do-not-resuscitate orders are not associated with increased postoperative morbidity at 30 days in surgical patients

Critical Care Medicine

Volumn 39, Issue 5, 2011, Pages 1036-1041

  Saager, Leif ^a   Kurz, Andrea ^a   Deogaonkar, Anupa ^a   You, Jing ^a   Mascha, Edward J ^a   Jahan, Ali ^a   Turner, Patricia L ^b   Sessler, Daniel I ^a   Turan, Alparslan ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

Author keywords

do not resuscitate; end oflife care; perioperative morbidity

Indexed keywords

ACUTE KIDNEY FAILURE; ADULT; AGED; BLEEDING; COMA; CONFERENCE PAPER; CONTROL GROUP; DATA BASE; DEEP VEIN THROMBOSIS; FEMALE; GRAFT FAILURE; HEALTH PROGRAM; HEART ARREST; HEART INFARCTION; HOSPITAL PATIENT; HUMAN; INCIDENCE; INFORMATION PROCESSING; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MEDICAL ORDER; MEDICAL RECORD REVIEW; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; OUTPATIENT; PERIPHERAL NERVE INJURY; PNEUMONIA; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RESUSCITATION; RETROSPECTIVE STUDY; SEPSIS; SEPTIC SHOCK; STROKE; SURGICAL INFECTION; SURGICAL PATIENT; SURGICAL TECHNIQUE; THROMBOPHLEBITIS; UNITED STATES; URINARY TRACT INFECTION; VALIDATION STUDY; WOUND DEHISCENCE;

EID: 79955464392     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e31820eb4fc     Document Type: Conference Paper

References (21)

1. Levin TT, Li Y, Weiner JS, et al: How do-not-resuscitate orders are utilized in cancer pa-tients: Timing relative to death and communi-cation- training implications. Palliat Support Care 2008; 6:341-348
2. Practice guidelines for blood component therapy: A report by the American Society of Anesthesiologists Task Force on Blood Com-ponent Therapy. Anesthesiology 1996; 84: 732-747
3. Campbell ML, Thill-Baharozian M: Impact of the DNR therapeutic plan on patient care re-quirements. Am J Crit Care 1994; 3:202-207
4. Rosenbaum PR, Rubin DB: The central role of the propensity score in observational stud-ies for causal effects. Biometrika 1983; 70: 41-55
5. Cohen J: Statistical Power Analysis for the Behavioral Sciences. Second Edition. New York, Academic Press, 1988
6. Fine J, Gray R: A proportional hazards model for the subdistribution of a competing risk. J Am Stat Assoc 1999; 94:496-509
7. Legler JM, Lefkopoulu M, Ryan LM: Efficiency and power of tests for multiple binary out-comes. J Am Stat Assoc 1995; 90:680-693
8. Bergstralh EKJ: Gmatch SAS Program; Mayo Clinic (HSR CodeXchange). Rochester, NY, Mayo Clinic Division of Biomedical Statistics and Informatics, 2003 A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUP-PORT Principal Investigators. JAMA 1995; 274: 1591-1598
9. Wenger NS, Greengold NL, Oye RK, et al: Patients with DNR orders in the operating room: surgery, resuscitation, and outcomes. SUPPORT Investigators. Study to Under-stand Prognoses and Preferences for Out-comes and Risks of Treatments. J Clin Ethics 1997; 8:250-257
10. La Puma J, Silverstein MD, Stocking CB, et al: Life-sustaining treatment. A prospective study of patients with DNR orders in a teach-ing hospital. Arch Intern Med 1988; 148: 2193-2198
11. Hemphill JC 3rd, Newman J, Zhao S, et al: Hospital usage of early do-not-resuscitate or-ders and outcome after intracerebral hemor-rhage. Stroke 2004; 35:1130-1134 (Pubitemid 38543531)
12. Kroch EA, Johnson M, Martin J, et al: Making hospital mortality measurement more mean-ingful: Incorporating advance directives and palliative care designations. Am J Med Qual 2010; 25:24-33
13. Nathens AB, Rivara FP, Wang J, et al: Varia-tion in the rates of do not resuscitate orders after major trauma and the impact of inten-sive care unit environment. J Trauma 2008; 64:81-88; discussion 88-91
14. Shepardson LB, Youngner SJ, Speroff T, et al: Variation in the use of do-not-resuscitate orders in patients with stroke. Arch Intern Med 1997; 157:1841-1847 (Pubitemid 27381116)
15. Shepardson LB, Youngner SJ, Speroff T, et al: Increased risk of death in patients with do-not-resuscitate orders. Med Care 1999; 37:727-737
16. Wenger NS, Pearson ML, Desmond KA, et al: Outcomes ofpatientswith do-not-resuscitate orders. Toward an understanding of what do-not-resuscitate orders mean and how they affect patients. Arch Intern Med 1995; 155: 2063-2068
17. Meissner A, Genga KR, Studart FS, et al: Epidemiology of and factors associated with end-of-life decisions in a surgical intensive care unit. Crit CareMed 2010; 38:1060-1068
18. Mjaset C, Gulbrandsen P, Ronning OM, et al: Before and after implementation of do-not-resuscitate orders in a stroke unit [in Nor-wegian]. Tidsskr Nor Laegeforen 2008; 128: 2819-2822
19. Clemency MV, Thompson NJ. 'Do not resusci-tate' (DNR) orders and the anesthesiologist: A survey. Anesth Analg 1993; 76:394-401 (Pubitemid 23085753)
20. Cohen CB, Cohen PJ: Do-not-resuscitate or-ders in the operating room. N Engl J Med 1991; 325:1879-1882
21. Waisel DB, Burns JP, Johnson JA, et al: Guidelines for perioperative do-not-resusci-tate policies. J Clin Anesth 2002; 14:467-473