ArticleHealth services research2018
Hospital Variation in Utilization of Life-Sustaining Treatments among Patients with Do Not Resuscitate Orders.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ceiling of Care in Acute Care Settings: A Concept Analysis.Journal of nursing management · 2026Pooled it
- Outcome and critical care resources utilised by do not attempt cardiopulmonary resuscitation (DNACPR) patients admitted to the ICU at a tertiary hospital in Saudi Arabia: a retrospective review of the critical care database.Critical care (London, England) · 2025Article
- Comprehensive geriatric assessment as an essential tool to register or update DNR codes in a tertiary care hospital.European geriatric medicine · 2024Article
- Utilization of Hospital Do-Not-Resuscitate Orders in Older Adults During COVID-19 Surges in 2020.Journal of palliative medicine · 2024Article
- Treatment intensity and mortality among COVID-19 patients with dementia: A retrospective observational study.Journal of the American Geriatrics Society · 2022Observational
- Review
- Causes of Mortality in ICU-Acquired Weakness.Journal of intensive care medicine · 2020Article
- Death and do-not-resuscitate order in the emergency department: A single-center three-year retrospective study in the Chinese mainland.World journal of emergency medicine · 2020Article
- Hospital Variation in Gastrostomy Tube Use among the Critically Ill.Annals of the American Thoracic Society · 2019Article
- Do-Not-Resuscitate Status and Risk-Standardized Mortality and Readmission Rates Following Acute Myocardial Infarction.Circulation. Cardiovascular quality and outcomes · 2019Article
- More than one in three proxies do not know their loved one's current code status: An observational study in a Maryland ICU.PloS one · 2019Observational
- Should We Agree to Disagree on Who May Benefit From ICU Admission?Critical care medicine · 2019Article
- Accounting for Patient Preferences Regarding Life-Sustaining Treatment in Evaluations of Medical Effectiveness and Quality.American journal of respiratory and critical care medicine · 2017Article
- Variation in Do-Not-Resuscitate Orders and Implications for Heart Failure Risk-Adjusted Hospital Mortality Metrics.JACC. Heart failure · 2017Article
- Hospital Variation in Do-Not-Resuscitate Orders and End-of-Life Healthcare Use in the United States.Annals of the American Thoracic Society · 2017Article
- Early Versus Late DNR Orders and its Predictors in a Saudi Arabian ICU: A Descriptive Study.Saudi journal of medicine & medical sciencesArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo determine between-hospital variation in interventions provided to patients with do not resuscitate (DNR) orders. DATA SOURCES/
settingUnited States Agency of Healthcare Research and Quality, Healthcare Cost and Utilization Project, California State Inpatient Database. STUDY
designRetrospective cohort study including hospitalized patients aged 40 and older with potential indications for invasive treatments: in-hospital cardiac arrest (indication for CPR), acute respiratory failure (mechanical ventilation), acute renal failure (hemodialysis), septic shock (central venous catheterization), and palliative care. Hierarchical logistic regression to determine associations of hospital "early" DNR rates (DNR order placed within 24 hours of admission) with utilization of invasive interventions. DATA COLLECTION/EXTRACTION
methodsCalifornia State Inpatient Database, year 2011. PRINCIPAL
findingsPatients with DNR orders at high-DNR-rate hospitals were less likely to receive invasive mechanical ventilation for acute respiratory failure or hemodialysis for acute renal failure, but more likely to receive palliative care than DNR patients at low-DNR-rate hospitals. Patients without DNR orders experienced similar rates of invasive interventions regardless of hospital DNR rates.
conclusionsHospitals vary widely in the scope of invasive or organ-supporting treatments provided to patients with DNR orders.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.