Association of medical futility with do-not-resuscitate (DNR) code status in hospitalised patients

Bibliographic Data

ID21513895
AuthorsChristoph Becker (0000-0002-8364-0593, University Hospital of Basel), Alessandra Manzelli (University Hospital of Basel), Alexander Marti (University Hospital of Basel), Hasret Cam (University Hospital of Basel), Katharina Beck (0000-0002-6909-6210, University Hospital of Basel), Alessia Vincent (0000-0001-7176-5172, University Hospital of Basel), Annalena Keller (University Hospital of Basel), Stefano Bassetti (0000-0003-1729-1425, University of Basel), Daniel Rikli (0000-0002-0999-4588, University of Basel), Rainer Schaefert (0000-0002-3077-7289, University of Basel), Kai Tisljar (University Hospital of Basel), Raoul Sutter (0000-0002-6575-356X, University of Basel), Sabina Hunziker (0000-0003-3648-3609, University of Basel, corresponding author)
Year2021
Volume47
Issue12
Pagese70-e70
Publication date2021-12-01
Open AccessNo
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/medethics-2020-106977
PMID33514639
OpenAlexW3122763857
LanguageEN
References cited34

Guidelines recommend a ‘do-not-resuscitate’ (DNR) code status for inpatients in which cardiopulmonary resuscitation (CPR) attempts are considered futile because of low probability of survival with good neurological outcome. We retrospectively assessed the prevalence of DNR code status and its association with presumed CPR futility defined by the Good Outcome Following Attempted Resuscitation score and the Clinical Frailty Scale in patients hospitalised in the Divisions of Internal Medicine and Traumatology/Orthopedics at the University Hospital of Basel between September 2018 and June 2019. The definition of presumed CPR futility was met in 467 (16.2%) of 2889 patients. 866 (30.0%) patients had a DNR code status. In a regression model adjusted for age, gender, main diagnosis, nationality, language and religion, presumed CPR futility was associated with a higher likelihood of a DNR code status (37.3% vs 7.1%, adjusted OR 2.99, 95% CI 2.31 to 3.88, p

Cardiopulmonary resuscitation · Logistic regression · Resuscitation · Cardiac Arrest and Resuscitation · Frailty in Older Adults · Medicine · Palliative Care and End-of-Life Issues · Emergency Medicine · Internal Medicine

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