Evidence map›Paper›PMID 37662642›Full record

ArticleResuscitation plus2023

Code status orders in hospitalized patients with COVID-19.

Amber R Comer, Lyle Fettig, Stephanie Bartlett, Shilpee Sinha, Lynn D'Cruz, Aubrey Odgers, Carly Waite, James E Slaven, Ryan White, Amanda Schmidt and 2 more

Open access · goldAbstract read
In one paragraph

Article in Resuscitation plus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Amber R ComerIndiana University School of Health and Human Science, United States.
Lyle FettigIndiana University School of Medicine, United States.
Stephanie BartlettIndiana University School of Health and Human Science, United States.
Shilpee SinhaIndiana University School of Medicine, United States.
Lynn D'CruzIndiana University School of Health and Human Science, United States.
Aubrey OdgersIndiana University School of Health and Human Science, United States.
Carly WaiteIndiana University School of Health and Human Science, United States.
James E SlavenIndiana University School of Medicine, United States.
Ryan WhiteIndiana University School of Medicine, United States.
Amanda SchmidtIndiana University School of Medicine, United States.
Laura PetrasIndiana University School of Medicine, United States.
Alexia M TorkeIndiana University School of Medicine, United States.
Indiana University Health · USIndiana University School of MedicineUniversity School · USIndiana University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The COVID-19 pandemic created complex challenges regarding the timing and appropriateness of do-not-attempt cardiopulmonary resuscitation (DNACPR) and/or Do Not Intubate (DNI) code status orders. This paper sought to determine differences in utilization of DNACPR and/or DNI orders during different time periods of the COVID-19 pandemic, including prevalence, predictors, timing, and outcomes associated with having a documented DNACPR and/or DNI order in hospitalized patients with COVID-19. Methods: A cohort study of hospitalized patients with COVID-19 at two hospitals located in the Midwest. DNACPR code status orders including, DNI orders, demographics, labs, COVID-19 treatments, clinical interventions during hospitalization, and outcome measures including mortality, discharge disposition, and hospice utilization were collected. Patients were divided into two time periods (early and late) by timing of hospitalization during the first wave of the pandemic (March-October 2020). Results: Among 1375 hospitalized patients with COVID-19, 19% ( Conclusions: There was a higher prevalence of DNACPR and/or DNI orders and these orders were written earlier in the hospital course for patients hospitalized early in the pandemic versus later despite similarities in clinical characteristics and medical interventions. Changes in clinical care between cohorts may be due to fear of resource shortages and changes in knowledge about COVID-19.

Indexed as

Code StatusCOVID-19

Identifiers

PMID37662642
PMCPMC10470381
OpenAlexW4386110693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.