ArticleClinical interventions in aging2018
Impact of frailty on do-not-resuscitate orders and healthcare transitions among elderly Koreans with pneumonia.
Article in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Do not attempt cardiopulmonary resuscitation decision-making process: scoping review.BMJ supportive & palliative care · 2025Article
- End-of-Life Infections and the Dilemma of Emerging Antimicrobial Resistance: A Scoping Review.Infection & chemotherapy · 2025Review
- A survey study of healthcare workers on do not Attempt cardiopulmonary resuscitation practice and policy in Ireland.Resuscitation plus · 2024Article
- Characteristics and outcomes of patients with do-not-resuscitate and physician orders for life-sustaining treatment in a medical intensive care unit: a retrospective cohort study.BMC palliative care · 2024Article
- Impact of frailty on mortality and healthcare costs and utilization among older adults in South Korea.Scientific reports · 2023Article
- Functional status recovery trajectories in hospitalised older adults with pneumonia.BMJ open respiratory research · 2022Article
- Infections in the older population: what do we know?Aging clinical and experimental research · 2021Article
- Frailty and hospitalization-associated disability after pneumonia: A prospective cohort study.BMC geriatrics · 2021Article
- Observational
- Individualized approach to reconsider perioperative do-not-resuscitate orders in frail older patients.Geriatrics & gerontology international · 2020Article
- Pharmacotherapy of Lower Respiratory Tract Infections in Elderly-Focused on Antibiotics.Frontiers in pharmacology · 2019Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePneumonia poses a significant health risk in aging societies. We aimed to elucidate the determinative value of frailty for do-not-resuscitate (DNR) orders in pneumonia patients. PATIENTS AND
methodsThis was a retrospective cohort study conducted at the Seoul National University Bundang Hospital (SNUBH) in Korea. Medical records of 431 pneumonia patients, aged 65 years and older, who were admitted between June 2014 and May 2015 were analyzed. Patients were categorized into DNR and no-DNR groups.
resultsAmong the 65 patients (15.1% of pneumonia patients) who completed DNR documents, 24 patients were survived, and 21 patients decided imminent to death (<24 hours before death), with all decisions determined by surrogates. The DNR group tended to be older and frail, with higher rates of renal impairment and malnutrition, and had a lower microbiology detection effort than the no-DNR group. The DNR group used a high number of broad-spectrum antibiotics, experienced high levels of in-hospital (63.1% vs 5.7%,
conclusionWe identified the factors associated with DNR orders and their prognoses among elderly Koreans with pneumonia. Frailty was significantly associated with DNR decision and healthcare setting transitions in pneumonia patients.
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