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Sex differences in "do not attempt resuscitation" orders after out-of-hospital cardiac arrest and the relationship to critical hospital interventions

PERMAN, Sarah M. ; SIRY, Bonnie J. ; GINDE, Adit A. ; GROSSESTREUER, Anne V. ; ABELLA, Benjamin S. ; DAUGHERTY, Stacie L. ; HAVRANEK, Edward P.
Clinical therapeutics, 01/01/2019, vol.41, n°6, p. 1029-1037

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From paper to paperless - do electronic systems ensure safe and effective communication and documentation of DNACPR decisions?

HARRINGTON, Laura ; PRICE, Kathryn ; EDMONDS, Polly
Clinical medicine, 05/2020, vol.20, n°3, p. 329-333

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Perioperative do-not-resuscitate suspension - the patient's perspective

HIESTAND, Debbie ; BEAMAN, Margaret
AORN journal, 01/01/2019, vol.109, n°3, p. 326-334

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Covid-19 - impact on DNR orders in the largest cancer center in Jordan

SHAMIEH, Omar ; RICHARDSON, Kathryn ; ABDEL-RAZEQ, Hikmat ; HARDING, Richard ; SULLIVAN, Richard ; MANSOUR, Asem
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 05/05/2020, p. 1-3

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Covid-19 - campaigner calls for national guidance to stop DNR orders being made without discussion with patients and families

DYER, Clare
BMJ (Clinical research ed.), 07/05/2020, vol.369, p.1

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Denying ventilators to Covid-19 patients with prior DNR orders is unethical

GUTMANN KOCH, Valerie ; HAN, Susie A.
The Hastings Center, 21/04/2020, p. 1-4

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Changes in clinical course before and after do-not-resuscitate order placement in a pediatric intensive care unit setting

ENNAMURI, Sravya ; ABRAMSON, Erika ; MAUER, Elizabeth ; GERBER, Linda M. ; NELLIS, Marianne E.
JOURNAL OF PALLIATIVE MEDICINE, 03/04/2020, Pagination inconnue

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Covid-19 - don’t apply advance care plans to groups of people, doctors’ leaders warn

IACOBUCCI, Gareth
BMJ, 06/04/2020, p. 1

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Cancer patients, physicians, and nurses differ in their attitudes toward the decisional role in do-not-resuscitate decision-making

SALTBÆK, Lena ; MICHELSEN, Hanne M. ; NELAUSEN, Knud M. ; THEILE, Susann ; DEHLENDORFF, Christian ; DALTON, Susanne O. ; NIELSEN, Dorte L.
Supportive care in cancer, 15/04/2020, Pagination inconnue

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The importance of addressing advance care planning and decisions about do-not-resuscitate orders during novel coronavirus 2019 (COVID-19)

CURTIS, J. Randall ; KROSS, Erin K. ; STAPLETON, Renee D.
JAMA, 27/03/2020, p. E1-E2

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Tracey judgement and hospice DNACPR orders - steady as she goes or seismic change?

MACFARLANE, Michael ; SHAYLER, Stephanie ; NELMS, Louisa ; WILLIS, Derek ; WM CARES GROUP
BMJ supportive and palliative care, 12/2019, vol.9, n°4, Pagination inconnue

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Use of combined do-not-resuscitate/do-not intubate orders without documentation of intubation preferences - a retrospective observational study at an academic level 1 trauma center

RUBINS, Jeffrey B.
Chest, 25/02/2020, Pagination inconnue

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Thème : Ethique et déontologie.

TESTAMENT VIE ; ETUDE RETROSPECTIVE ; INFORMATION MALADE ; CONSENTEMENT

BACKGROUND: Combining orders for do-not-resuscitate (DNR) for cardiac arrest with do-not-intubate (DNI) orders into a DNR/DNI code status is not evidence-based practice and may violate patient autonomy and informed consent when providers discuss intubation only in the context of CPR.
RESEARCH QUESTION: How often do providers refer to patients with a DNR order as "DNR/DNI" without documentation of refusal of intubation for non-arrest situations?
STUDY DESIGN AND METHODS: Retrospective observational study of adults (18 years or older) hospitalized in a Level 1 trauma/academic hospital between July 2017 and June 2018 inclusive with DNR orders placed during hospitalization RESULTS: Of 422 hospitalized adults with DNR orders, 261 (61.9%) had code status written in progress notes as DNR/DNI. Providers' use of the term DNR/DNI in progress notes was significantly (OR 2.21 99% CI 1.12 - 4.37) more common on medical hospital services (hospitalist, family medicine, internal medicine) than on non-medical ward services (medical/surgical intensive care units, surgery, psychiatry, neurology services).Of 261 "DNR/DNI"patients, providers did not document informed refusal of intubation for non-arrest situations for 68 (26.0%) of patients. By comparison, of 161 patients where providers documented code status in progress notes as DNR alone, 69 (42.9%) did have documentation of refusal of intubation for non-arrest events. Therefore, if a DNR/DNI code status was used in a non-arrest emergency to determine whether to intubate a patient, 68 (16.1%) of 422 patients could inappropriately be denied intubation without informed refusal (or despite their informed acceptance), and 69 (16.4%) could inappropriately be intubated despite their documented refusal of intubation.
INTERPRETATION: Conflation of DNR and DNI into DNR/DNI does not reliably distinguish patients who refuse or accept intubation for indications other than cardiac arrest, and thus may inappropriately deny desired intubation for those who would accept it, and inappropriately impose intubation on patients who would not.

Origine : PubMed

Timing is everything - early do-not-resuscitate orders in the intensive care unit and patient outcomes

OUYANG, Daniel J. ; LIEF, Lindsay ; RUSSELL, David ; XU, Jiehui ; BERLIN, David A. ; GENTZLER, Eliza ; SU, Amanda ; COOPER, Zara R. ; SENGLAUB, Steven S. ; MACIEJEWSKI, Paul K. ; PRIGERSON, Holly G.
Plos one, 2020, vol.15, n°2, p. 1-12

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Shared decision making with oncologists and palliative care specialists effectively increases the documentation of the preferences for do not resuscitate and artificial nutrition and hydration in patients with advanced cancer - a model testing study

HUANG, Hsien-Liang ; TSAI, Jaw-Shiun ; YAO, Chien-An ; CHENG, Shao-Yi ; HU, Wen-Yu ; CHIU, Tai-Yuan
BMC palliative care, 04/02/2020, vol.19, n°1, p. 1-9

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Nurses' experiences and factors related to their attitudes regarding discussions with patients and family members about do-not-resuscitate decisions and life-sustaining treatment withdrawal - a hospital-based cross-sectional study

CHANG, Hsiao-Ting ; LIN, Ming-Hwai ; CHEN, Chun-Ku ; CHEN, Tzeng-Ji ; HWANG, Shinn-Jang
International journal of environmental research and public health, 15/01/2020, vol.17, n°2, p. 1-12

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Knowledge and attitude toward do-not-resuscitate among patients and their relatives visiting outpatient clinics at King Abdulaziz university hospital, Jeddah, Saudi Arabia

AL AHMADI, Jawaher R. ; ALJEHANI, Sondos N. ; BAHAKEEM, Lujain M. ; HIJAN, Bushra A. ; MAYET, Sarah A. ; BADAHDAH, Yosra A.
Saudi medical journal, 01/2020, vol.41, n°1, p. 53-58

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Clinicians' attitudes towards do-not-resuscitate directives in a teaching hospital in Saudi Arabia

MADADIN, Mohammed ; ALSAFFAR, Gada M. ; ALESSA, Sara M. ; KHAN, Afnan ; BADGHAISH, Dania A. ; ALGARNI, Shahad M. ; MENEZES, Ritesh G.
Cureus, 30/12/2019, vol.11, n°12, p. 1-8

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High-flow nasal cannula oxygen in patients with acute respiratory failure and do-not-intubate or do-not-resuscitate orders - a systematic review

WILSON, Michael E. ; MITTAL, Aniket ; DOBLER, Claudia C. ; CURTIS, J. Randall ; MAJZOUB, Abdul M. ; SOLEIMANI, Jalal ; GAJIC, Ognjen ; ERWIN, Patricia J. ; MONTORI, Victor M. ; MURAD, M. Hassan
Journal of hospital medicine, 20/11/2019, vol.14, p. E1-E6

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Advance care planning and decision-making in a home-based primary care service in a Canadian urban centre

HUGGINS, Madison ; MCGREGOR, Margaret J. ; COX, Michelle B. ; BAUDER, Katie ; SLATER, Jay ; YAP, Clarissa ; MALLERY, Laurie ; MOORHOUSE, Paige ; RUSNAK, Conrad
Canadian geriatrics journal, 12/2019, vol.22, n°4, p. 182-189

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Association between the communication skills of physicians and the signing of do-not-resuscitate consent for terminally ill patients in emergency rooms (cross-sectional study)

CHEN, Chih-Hung ; CHENG, Ya-Hui ; CHEN, Fen-Ju ; HUANG, Eng-Yen ; LIU, Po-Ming ; KUNG, Chia-Te ; SU, Chao-Hui ; CHEN, Shu-Hwa ; CHIEN, Peng-Chen ; HSIEH, Ching-Hua
Risk management and healthcare policy, 2019, vol.12, p. 307-315

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