Background
Methods
Subjects
Study items
Extraction of search words for DNR and LST
Analysis
Ethical considerations
Results
All study subjects | DNR order issued | |||||||
---|---|---|---|---|---|---|---|---|
All | Discharged | Deceased | ||||||
Patients, number | 61,037 | 2997 | 1228 | 1769 | ||||
Age, years | 64.1 | (18.7) | 80.3 | (12.2) | 84.4 | (10.3) | 77.4 | (12.5) |
Patients aged ≥85 years | 6839 | (11.2%) | 1286 | (42.9%) | 738 | (60.1%) | 548 | (31.0%) |
Female patients | 32,426 | (53.1%) | 1506 | (50.3%) | 730 | (59.4%) | 776 | (43.9%) |
Non-cancer patients | 47,010 | (77.0%) | 1907 | (63.6%) | 999 | (81.4%) | 908 | (51.3%) |
Internal medicine patients | 25,586 | (41.9%) | 2488 | (83.0%) | 1121 | (91.3%) | 1367 | (77.3%) |
Patients who received invasive LST | 7935 | (13.0%) | 1073 | (35.8%) | 277 | (22.6%) | 796 | (45.0%) |
Patients with invasive LST restrictions | 1941 | (3.2%) | 1858 | (62.0%) | 833 | (67.8%) | 1025 | (57.9%) |
Time until DNR issuance, days | 16.5 | (35.5) | 9.0 | (24.2) | 21.7 | (40.8) | ||
Hospital length of stay, days | 16.5 | (31.1) | 48.0 | (65.0) | 55.8 | (76.3) | 42.6 | (55.3) |
Deceased | 3935 | (6.4%) | 1769 | (59.0%) |
Discharged | Deceased | Comparison of Discharged vs Deceased † | |||
---|---|---|---|---|---|
Timing of DNR order: Early | |||||
Patients, number | 781 | 525 | |||
Age, years | 85.8 | (10.1) | 81.5 | (11.5) | ** |
Patients aged ≥85 years | 519 | (66.5) | 236 | (45.0) | ** |
Female patients | 501 | (64.1) | 266 | (50.7) | ** |
Non-cancer patients | 661 | (84.6) | 293 | (55.8) | ** |
Internal medicine patients | 736 | (94.2) | 443 | (84.4) | ** |
Patients who received invasive LST | 125 | (16.0) | 165 | (31.4) | ** |
Patients with restrictions on invasive LST | 540 | (69.1) | 337 | (64.2) | ns |
Hospital length of stay, days | 38.9 | (42.3) | 29.5 | (32.7) | ** |
Timing of DNR order: Mid-term | |||||
Patients, number | 416 | 806 | |||
Age, years | 81.7 | (10.1) | 75.7 | (12.0) | ** |
Patients aged ≥85 years | 199 | (47.8) | 185 | (23.0) | ** |
Female patients | 213 | (51.2) | 328 | (40.7) | ** |
Non-cancer patients | 316 | (76.0) | 355 | (44.0) | ** |
Internal medicine patients | 359 | (86.3) | 593 | (73.6) | ** |
Patients who received invasive LST | 150 | (36.1) | 398 | (49.4) | ** |
Patients with restrictions on invasive LST | 280 | (67.3) | 443 | (55.0) | ** |
Hospital length of stay, days | 90.9 | (108.9) | 62.5 | (67.9) | ** |
Timing of DNR order: Late | |||||
Patients, number | 31 | 438 | |||
Age, years | 82.9 | (13.1) | 75.7 | (13.4) | ** |
Patients aged ≥85 years | 20 | (64.5) | 127 | (29.0) | ** |
Female patients | 16 | (51.6) | 182 | (41.6) | ns |
Non-cancer patients | 22 | (71.0) | 260 | (59.4) | ns |
Internal medicine patients | 26 | (83.9) | 331 | (75.6) | ns |
Patients who received invasive LST | 2 | (6.5) | 233 | (53.2) | ** |
Patients with restrictions on invasive LST | 13 | (41.9) | 245 | (55.9) | ns |
Hospital length of stay, days | 9.3 | (16.8) | 21.7 | (35.4) | ns |
AOR | 95% CI | p value | ||
---|---|---|---|---|
Age, years | 1.018 | (1.009, | 1.027) | < 0.001 |
Female patients | 1.336 | (1.120, | 1.595) | 0.001 |
Timing of DNR order: Early | 13.727 | (9.253, | 20.366) | < 0.001 |
Timing of DNR order: Mid-term | 6.394 | (4.267, | 9.581) | < 0.001 |
Non-cancer patients | 3.402 | (2.758, | 4.197) | < 0.001 |
Internal medicine patients | 1.629 | (1.248, | 2.127) | < 0.001 |
Invasive LST | 0.358 | (0.295, | 0.436) | < 0.001 |
Restrictions on invasive LST | 0.956 | (0.793, | 1.152) | 0.634 |
Hospital length of stay, days | 1.005 | (1.004, | 1.007) | < 0.001 |