Variation in the use of do-not-resuscitate orders in patients with stroke
Variation in the use of do-not-resuscitate orders in patients with stroke
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DOI：
10.1001/archinte.157.16.1841
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发表时间：
1997-09-08
影响因子：
--
通讯作者：
Rosenthal, GE
中科院分区：
文献类型：
--
作者：
Shepardson, LB;Youngner, SJ;Rosenthal, GE
目的：确定与住院脑卒中患者使用不复苏（DNR）命令相关的社会人口学和临床特征。目的：探讨不同医院对急诊单的使用是否存在差异。方法：这项观察性队列研究收集了13337例连续的首发诊断为脑卒中的合格患者的数据。这些病人于1991年至1994年从一个大城市地区的30家医院出院。研究数据采用标准表格从患者的医院记录中提取。入院时疾病的严重程度采用一个经过验证的多变量模型进行测量。社会人口学和临床因素独立相关的使用DNR订单确定使用逐步逻辑回归。结果：2898例（22%）患者签署了不复苏指令。患者特征独立(P
Objectives: To identify sociodemographic and clinical characteristics associated with the use of do-not-resuscitate (DNR) orders in hospitalized patients with stroke. To examine whether the use of DNR orders varies across hospitals.Methods: This observational cohort study used data collected for 13 337 consecutive eligible patients with a primary diagnosis of stroke. These patients were discharged in 1991 through 1994 from 30 hospitals in a large metropolitan area. Study data were abstracted from patients' hospital records using standard forms. Admission severity of illness was measured using a validated multivariable model. Sociodemographic and clinical factors independently associated with the use of DNR orders were identified using stepwise logistic regression.Results: Do-not-resuscitate orders were written for 2898 patients (22%). Patient characteristics independently (P