ArticleInternational journal of general medicine2018
Effect of a do-not-resuscitate order on the quality of care in acute heart failure patients: a single-center cohort study.
Article in International journal of general medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Prediction of cardiac arrest in patients with heart failure in Sweden: a registry study with development of a machine learning model.BMJ open · 2026Observational
- Article
- Perceptions of ICU Care Following Do-Not-Resuscitate Orders: A Military Perspective.Critical care explorations · 2020Article
- Early DNR Order and Long-Term Prognosis Among Patients Hospitalized for Acute Heart Failure: Single-Center Cohort Study in Japan.International journal of general medicine · 2020Article
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Authors and funding
12 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA do-not-resuscitate (DNR) order is reportedly associated with a decrease in performance measures, but it should not be applied to noncardiopulmonary resuscitation procedures. Good performance measures are associated with improvement in heart failure outcomes.
aimTo analyze the influence of DNR order on performance measures of heart failure at our hospital, where lectures on DNR order are held every 3 months.
designRetrospective cohort study.
methodsThe medical report of patients with acute heart failure who were admitted between April 2013 and March 2015 were retrospectively analyzed. We collected demographic data, information on the presence or absence of DNR order within 24 hours of admission, and inhospital mortality. Performance measures of heart failure, including assessment of cardiac function and discharge prescription of angiotensin-converting enzyme inhibitor or angiotensin receptor blocker and beta-blocker for left ventricular systolic dysfunction and anticoagulant for atrial fibrillation, were collected and compared between groups with and without DNR orders.
resultsIn 394 total patients and 183 patients with left ventricular systolic dysfunction, 114 (30%) and 44 (24%) patients, respectively, had a DNR order. Patients with a DNR order had higher inhospital mortality. There were no significant differences between the two groups in terms of the four quality measures (left ventricular function assessment, angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, beta-blocker, and anticoagulant).
conclusionDNR orders did not affect performance measures, but they were associated with higher inhospital mortality among acute heart failure patients.
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