Sociodemographic factors associated with do-not-resuscitate order utilization in the surgical intensive care unit : an observational study

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ZHANG, Ziya | WEINBERG, Alan | HACKETT, Anna | WELLS, Celia | SHITTU, Atinuke | CHAN, Christy | BASS, Kathryn | PHILPOTTS, Yoland | GUPTA, Rohit | KOHLI-SETH, Roopa

The use of a do-not-resuscitate (DNR) order is a powerful tool in outlining end-of-life care. This study explores sociodemographic factors associated with selection of a DNR order and assigning a healthcare proxy in the Surgical Intensive Care Unit (SICU). A retrospective chart review of 312 patients who expired in the SICU over a 7-year period was conducted. We analyzed the association of sociodemographic factors to selection of a DNR order and assignment of a healthcare proxy. Year of admission, age, religion, and proxy were independently associated with selection of DNR. In particular, the relative chance of a DNR selection in 2019 compared to 2012 was 3.538 (95% CL = 2.001-6.255, P < .01). There are significant sociodemographic factors that influence DNR utilization, highlighting the need to consider the social and religious backgrounds when engaging patients and their families in end-of-life care. Future studies will need to be conducted on whether these sociodemographic factors influence surviving patients as this study's findings can only be applied to those who have expired.

http://dx.doi.org/10.1177/10499091221147914

Voir la revue «The American journal of hospice and palliative care, 40»

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