TY - JOUR
T1 - Sociodemographic Factors Associated with Do-Not-Resuscitate Order Utilization in the Surgical Intensive Care Unit
T2 - An Observational Study
AU - Zhang, Ziya
AU - Weinberg, Alan
AU - Hackett, Anna
AU - Wells, Celia
AU - Shittu, Atinuke
AU - Chan, Christy
AU - Bass, Kathryn
AU - Philpotts, Yoland
AU - Gupta, Rohit
AU - Kohli-Seth, Roopa
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2023/11
Y1 - 2023/11
N2 - The use of a do-not-resuscitate (DNR) order is a powerful tool in outlining end-of-life care. This study explores sociodemographic factors associated with selection of a DNR order and assigning a healthcare proxy in the Surgical Intensive Care Unit (SICU). A retrospective chart review of 312 patients who expired in the SICU over a 7-year period was conducted. We analyzed the association of sociodemographic factors to selection of a DNR order and assignment of a healthcare proxy. Year of admission, age, religion, and proxy were independently associated with selection of DNR. In particular, the relative chance of a DNR selection in 2019 compared to 2012 was 3.538 (95% CL = 2.001–6.255, P <.01). There are significant sociodemographic factors that influence DNR utilization, highlighting the need to consider the social and religious backgrounds when engaging patients and their families in end-of-life care. Future studies will need to be conducted on whether these sociodemographic factors influence surviving patients as this study’s findings can only be applied to those who have expired.
AB - The use of a do-not-resuscitate (DNR) order is a powerful tool in outlining end-of-life care. This study explores sociodemographic factors associated with selection of a DNR order and assigning a healthcare proxy in the Surgical Intensive Care Unit (SICU). A retrospective chart review of 312 patients who expired in the SICU over a 7-year period was conducted. We analyzed the association of sociodemographic factors to selection of a DNR order and assignment of a healthcare proxy. Year of admission, age, religion, and proxy were independently associated with selection of DNR. In particular, the relative chance of a DNR selection in 2019 compared to 2012 was 3.538 (95% CL = 2.001–6.255, P <.01). There are significant sociodemographic factors that influence DNR utilization, highlighting the need to consider the social and religious backgrounds when engaging patients and their families in end-of-life care. Future studies will need to be conducted on whether these sociodemographic factors influence surviving patients as this study’s findings can only be applied to those who have expired.
KW - advance care planning
KW - critical care
KW - do not resuscitate
KW - do-not-resuscitate
KW - sociodemographic factors
KW - surgical intensive care unit
UR - http://www.scopus.com/inward/record.url?scp=85145395812&partnerID=8YFLogxK
U2 - 10.1177/10499091221147914
DO - 10.1177/10499091221147914
M3 - Article
AN - SCOPUS:85145395812
SN - 1049-9091
VL - 40
SP - 1212
EP - 1215
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 11
ER -