Navigation Links
People With DNR Orders More Apt to Die After Any Surgery
Date:4/18/2011

MONDAY, April 18 (HealthDay News) -- Patients with do-not-resuscitate (DNR) orders are more likely to suffer complications and die after surgery, even after non-emergency procedures, a new study finds.

DNR orders request that no "heroic" cardiovascular measures be used to revive someone who is clinically unresponsive and lacks a pulse.

The study appears online April 18 and in the August print issue of the journal Archives of Surgery.

Researchers analyzed data from 4,128 adult patients with DNR orders and 4,128 patients matched for age and type of procedure who had surgery at 120 U.S. hospitals between 2005 and 2008. Most of the patients were elderly white women, average age 79.

Patients outcomes were evaluated based on the occurrence of one or more postoperative complication, the need for another operation, total time in the operating room, length of hospital stay and death within 30 days of surgery.

The combined death rate for both groups of patients was 15.3 percent.

"Compared with non-DNR patients, more than twice as many DNR patients died within 30 days of surgery (8.4 percent versus 23.1 percent). The DNR patients were more likely to die regardless of the urgency of the surgical procedure" -- 35.5 percent versus 17.8 percent and 16.6 percent versus 5.5 percent for emergency and non-emergency procedures, respectively, wrote Hadiza Kazaure and colleagues at Yale University School of Medicine in a journal news release.

They also found that patients with do-not-resuscitate orders were more likely to die after every type of procedure included in the study.

The overall complication rate for both groups of patients was 28.6 percent, but the rate was higher in DNR patients (31 percent) than in non-DNR patients (26.4 percent).

The researchers noted that patients with DNRs undergo operations for a variety of reasons, ranging from palliative surgery to attempts to extend life.

"The DNR patients may have surgery to gain 'additional time'; nevertheless, our study demonstrates that almost a quarter of DNR patients die within 30 days of surgery," the study authors noted.

"Informed consent and elicitation of the goals of surgery, especially as they relate to overall goals of care, are essential for guiding surgical decisions involving DNR patients and their families. Issues pertaining to DNR status are complex, and they should be anticipated long before the 30-day period leading to an operation," the study authors concluded.

More information

The U.S. Agency for Healthcare Research and Quality has more about end-of-life treatment decisions.

-- Robert Preidt

SOURCE: JAMA/Archives journals, news release, April 18, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Depressed people feel more gray than blue
2. Exercise Success for People Over 50: Reports of Improved Fitness, Circulation and Balance
3. Vaccine May Prevent TB in People With HIV
4. People with anxiety disorder less able to regulate response to negative emotions, study shows
5. Can mobile phones help people EatWell?
6. “Hearts and Minds” Education Program Launched: On Average, People with Mental illness Live 25 Years Less than Other Americans
7. Happy People More Likely to Try Something New
8. Board Certified Renal Specialist, Nina Kolbe, Publishes Second Edition of Kidney Health Gourmet: A Diet Guide and Kidney Friendly Recipes for People Not on Dialysis
9. Visual Cues that Improve Walking for People with Movement Disorders - Study Shows Small Change in Arrangement Can Make a Big Difference in Improvement Gained
10. Pelosi on Repealing Antitrust Exemption: Health Insurance Companies Will Now Be Playing on the Peoples Field
11. Gingrich Hosts The American Peoples Online Health Summit
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
People With DNR Orders More Apt to Die After Any Surgery
(Date:4/24/2017)... ... April 24, 2017 , ... ... prescription opioid overdose deaths now claim the lives of 62 Americans each day.(1) ... filings against drug manufacturers, distributors, pharmacies and prescribers by more than half.(2) ...
(Date:4/24/2017)... , ... April 24, 2017 , ... ... designed to recognize elevated anxiety levels in people with addiction who are served ... Smart Patch, a biosensing wearable device that monitors heart and breath rates to ...
(Date:4/24/2017)... (PRWEB) , ... April 24, 2017 , ... ... health of individuals with HIV because it is not known to have significant ... have favorable effects to both lower cholesterol levels and dampen inflammation in the ...
(Date:4/24/2017)... ... ... Come to PAINWeekEnd (PWE) Tampa on May 20 and 21, at the ... 2-day program. , An attendee at a recent PAINWeekEnd said, "Very helpful, wish ... course entitled Ain't Misbehavin': Decreasing and Managing Pain Patient Aberrant Behavior, presented by Dr. ...
(Date:4/24/2017)... FOREST KNOLLS, Calif. (PRWEB) , ... April 24, 2017 , ... ... and health topics, but she has not found any of them to be very ... weekly actions to slowly and easily make changes in their health. It prompted her ...
Breaking Medicine News(10 mins):
(Date:4/20/2017)... , April 20, 2017  Vivify Health, the pioneer ... has been awarded a very significant patent for the ... to continual care via digital health.  This landmark patent ... property and further secures Vivify,s position as the leader ... 2009, was the first company to apply consumer mobile ...
(Date:4/20/2017)... April 20, 2017 Research and Markets has ... Innovation Driven by Rapidly Expanding Injectables Market and Increasing Usage of ... ... delivery technologies will rise from USD 20 Billion in 2015 to ... Drug Delivery Technologies - Innovation Driven by Rapidly Expanding Injectables Market ...
(Date:4/20/2017)... Research and Markets has announced the ... Application Analysis, Regional Outlook, Growth Trends, Key Players, Competitive Strategies ... ... was valued at US$ 7,167.6 Mn in 2015, and is ... a CAGR of 5.6% from 2016 to 2024. ...
Breaking Medicine Technology: