Article
Nursing
Patricia A. Kelly, Kathy A. Baker, Karen M. Hodges, Ellen Y. Vuong, Joyce C. Lee, Suzy W. Lockwood
Summary: The study revealed that there are common varying interpretations of DNR orders among nurses, leading to unintended consequences and perceived variances among healthcare team members, patients, and family members. This could result in shifts in care, different responses to deteriorating status, tension, and differing role expectations for healthcare team members.
AMERICAN JOURNAL OF NURSING
(2021)
Article
Critical Care Medicine
Kathryn E. Driggers, Sydney E. Dishman, Kevin K. Chung, Cara H. Olsen, Andrea B. Ryan, Melissa M. McLawhorn, Laura S. Johnson
Summary: This article investigates the perceptions of surgical and ICU staff regarding the impact of DNR orders on care. The results show that surgical staff express more concern about decreased care after DNR status compared to ICU staff. Further investigation is needed to determine whether there are actual clinical changes.
JOURNAL OF CRITICAL CARE
(2022)
Article
Cardiac & Cardiovascular Systems
Tangxing Jiang, Yanyan Ma, Jiaqi Zheng, Chunyi Wang, Kai Cheng, Chuanbao Li, Feng Xu, Yuguo Chen
Summary: In mainland China, the signing rate of DNR orders is low, and the establishment of DNR orders is associated with demographics and comorbidity characteristics.
Article
Critical Care Medicine
Anuj B. Mehta, Allan J. Walkey, Douglas Curran-Everett, Daniel Matlock, Ivor S. Douglas
Summary: The study found that do-not-resuscitate reversals at the time of readmission are more common than previously reported, with patients being readmitted to different hospitals more likely to experience do-not-resuscitate reversals. Patients readmitted to hospitals with lower do-not-resuscitate rates were also more likely to have do-not-resuscitate reversals.
CRITICAL CARE MEDICINE
(2021)
Article
Critical Care Medicine
Debbie Y. Madhok, Jeffrey R. Vitt, Donna MacIsaac, Renee Y. Hsia, Anthony S. Kim, J. Claude Hemphill
Summary: The study found that early Do-not-resuscitate (DNR) orders are strong predictors of in-hospital mortality in patients with intracerebral hemorrhage (ICH). The frequency of early DNR orders remains high, and patients treated in hospitals with higher utilization of early DNR orders have a higher relative risk of death.
NEUROCRITICAL CARE
(2021)
Article
Chemistry, Analytical
Dong Hun Kim, Jong Kwan Park, Aejin Lee, Seok Cheol Kim, Ji Hee Chae, Minyoung Lee, Sang-Guk Lee, Byung-Wan Lee, Wan Soo Yun
Summary: A simple and reliable method for quantitating creatinine in urine-based diagnosis was developed using 3,5-dinitrobenzoate as an electrochemical probe molecule. The method covered the normal concentration range of human urine and effectively suppressed chemical interference from various urinary species. The reliability of this method was confirmed by comparing data obtained from real human urine samples with that of the conventional method.
JOURNAL OF ELECTROANALYTICAL CHEMISTRY
(2023)
Article
Ethics
Jay Ciaffa
Summary: This paper examines various decision-making models proposed to restrict CPR use for COVID-19 patients, with a focus on assessing proposals for implementing unilateral DNR orders.
JOURNAL OF LAW MEDICINE & ETHICS
(2021)
Article
Psychology, Multidisciplinary
Senay Gul, Gulcan Bagcivan, Miray Aksu
Summary: This study aimed to investigate nurses' opinions on Do Not Resuscitate (DNR) orders. The majority of participants agreed that healthcare professionals involved in DNR decision-making should have ethical competence, while they were undecided about the legality of DNR. Most nurses had positive attitudes towards DNR orders, but further research is needed to understand the perspectives of patients' family members and decision makers.
OMEGA-JOURNAL OF DEATH AND DYING
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Kamran Mahfooz, Syed Najeed
Summary: We found the article by Tangxing Jiang et al. titled "Prevalence and related factors of do-not-resuscitate orders among in-hospital cardiac arrest patients" to be a delightful read. The author's insights were admirable, and we agree with the conclusion that newly diagnosed coronary artery disease patients are less likely to have a DNR order established. To improve the standard of palliative care, it is important to develop DNR orders. However, we would like to present additional points to enhance the credibility of this report and contribute to the existing body of knowledge.
CURRENT PROBLEMS IN CARDIOLOGY
(2023)
Article
Multidisciplinary Sciences
Katherine M. Callahan, Yubraj M. Acharya, Christopher M. Hollenbeak
Summary: ICD codes can serve as valid proxies for do-not-resuscitate (DNR) orders in hospitalized older adults with heart failure, with a sensitivity of 84.6%, specificity of 96.6%, positive predictive value of 90.5%, and negative predictive value of 94.3% compared to the gold standard of the electronic medical record (EMR). However, there is some systematic disagreement between the DNR codes and the EMR, indicating the need for further research in other populations.
Article
Geriatrics & Gerontology
Chien-Yi Wu, Chun-Hao Jen, Yun-Shiuan Chuang, Tzu-Jung Fang, Yu-Hsuan Wu, Ming-Tsang Wu
Summary: This study investigated factors associated with signing DNR documents in older patients in a geriatric ward, finding that age, nutrition status, albumin level, comorbidity index, and ICU transfer were independently associated with DNR documentation. Identified factors could provide clinical information for discussions on DNR and advance care planning for geriatric patients.
Article
Anesthesiology
Julien Cobert, Reginald Lerebours, Sarah B. Peskoe, Alexander Gordee, Tracy Truong, Vijay Krishnamoorthy, Karthik Raghunathan, Leila Mureebe
Summary: This exploratory retrospective cohort study investigated factors associated with morbidity and mortality among patients with preoperative do-not-resuscitate (DNR) orders undergoing colorectal, vascular, and orthopedic surgeries. The strongest factors associated with increased odds of 30-day mortality were identified in different surgical subgroups, highlighting the varying impact of characteristics on patient outcomes in this population. The study suggests that the presence of a DNR order should not be the sole determinant of risk in these patients.
ANESTHESIA AND ANALGESIA
(2021)
Article
Multidisciplinary Sciences
Mei-Hsing Chuang, Jiunn-Rong Hsu, Chia-Wei Hung, Yu Long Hwang, Chih-Ching Lee, Hsiu-Yi Shen, Fu-Kang Chang, Li-Lin Kuo, Saint Shiou-Sheng Chen, Sheng-Jean Huang
Summary: This study examined the factors associated with signing a do not resuscitate (DNR) form in patients with amyotrophic lateral sclerosis (ALS). The study found that respiratory failure is the main cause of death in ALS patients. Additionally, the use of invasive or non-invasive positive pressure ventilators and different feeding tube methods were associated with DNR signing. These findings suggest the importance of discussing DNR decisions with ALS patients and their families early in the disease progression and offering palliative care options.
Article
Oncology
Panpan Cui, Zhiguang Ping, Panpan Wang, Wenqian Bie, Chao Hsing Yeh, Xinyi Gao, Yiyang Chen, Shiqi Dong, Changying Chen
Summary: This study explored the prevalence of DNR orders, factors influencing them, and the association between early DNR signing and healthcare utilization among advanced cancer patients. Results showed that patients with solid tumors, living in urban areas, with more comorbidities and symptoms were more likely to have DNR orders. Early DNR orders were associated with less aggressive procedures and more comfort measures, but were often signed late, indicating the need for further research on the timing of DNR orders.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Medicine, General & Internal
Milos Brankovic, Hyein Jeon, Nikolina Markovic, Catherine Choi, Shawn Adam, Madia Ampey, Kathleen Pergament, Eric Tien Yen Chyn
Summary: This study investigated the impact of the COVID-19 pandemic on palliative care intervention (PCIs) in patients with do-not-resuscitate (DNR) status. The results showed that DNR patients with COVID-19 had better general health and higher employment status than 'typical' DNR patients, but had lower chances to be seen by the palliative care team.
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION
(2023)