Do-Not-Resuscitate Orders in Acute Stroke
Alexandrov, Andrei V.
Bladin, Christopher F.
Meslin, Eric M.
Norris, John W.
Neurology. 1995 Apr; 45(4): 634-640.
Although the general guidelines for do-not-resuscitate (DNR) orders apply to acute stroke patients, few data are available to aid decision-making. With a view to developing specific guidelines for use in patients with acute stroke, we decided to evaluate the clinical factors associated with DNR orders at our university teaching hospital. We prospectively studied 450 consecutive patients with acute hemispheric strokes (237 men and 213 women, mean age 75 +/- 12 years). Thirty-six patients (8%) had intracerebral hemorrhage (ICH) and 414 (92%) had ischemic strokes. Overall inhospital mortality was 26%. DNR status was given to 31% of all patients at some time during their admission (83% of those died). DNR decision-making was closely associated with the severity of the neurologic deficit (Canadian Neurological Scale score
Advance Directives; Age Factors; Aged; Artificial Feeding; Brain; Competence; Critically Ill; Consent; Decision Making; DNR Orders; Evaluation; Evaluation Studies; Family Members; Futility; Guidelines; Health; Hospitals; Informed Consent; Institutional Policies; Illness; Morbidity; Mortality; Patient Care; Patient Care Team; Patients; Physicians; Practice Guidelines; Prognosis; Resuscitation; Resuscitation Orders; Statistics; Third Party Consent; Time Factors; Treatment Outcome;
Showing items related by title, author, creator and subject.