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:5/26/2016)... ... , ... May 2016 – Lips may be a central feature on our ... numbers of clients now ask about lip plumping and primping techniques and want tips ... Advanced Dermatology P.C. , The trend is a national one, with 2.4 ...
(Date:5/26/2016)... CT; Scottsdale, AZ (PRWEB) , ... ... ... insights consultancy, Actûrus , is happy to announce the launch of ... thinking of the funnel model to reflect the dynamic landscape of modern ...
(Date:5/26/2016)... ... May 26, 2016 , ... Development Team of Pixel Film ... FCPX. , "This new layered style transition tool will keep a consistent flow to ... of Pixel Film Studios. , TranSweep is an all new layered style transition ...
(Date:5/26/2016)... Madeira Beach, Florida (PRWEB) , ... May 26, 2016 , ... ... island connected to the mainland by a single drawbridge, citizens formed an organization, Madeira ... increase already congested traffic and change the small town center to a high rise ...
(Date:5/26/2016)... ... May 26, 2016 , ... According to the Webster’s dictionary, a hippie is ... beauty products, one company is going against the norm with a line of all-natural ... star in the green space is proud to announce its latest retail partnership with ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... , May 25, 2016  Granger Diagnostics today ... test for wounds and infections. This test ensures ... and select viruses. The test requires only a ... David G. Bostwick , MD, ... to facilitate wound healing: "We are excited to ...
(Date:5/24/2016)... , May 24, 2016 ... Markt gebracht, die es Ärzten erlaubt, ihre Expertise ... behandeln: MDLinking kombiniert Live Streaming mit einer Instant-Messaging-Funktion ... zu kommunizieren. Mediziner in Europa, Afrika, Asien und ... bereits für die Plattform registriert. Information ...
(Date:5/24/2016)... ARANZ Medical  Ltd a specialist ... has been named the Coretex Hi-Tech Emerging Company of the ... Dr Bruce Davey , CEO of ARANZ Medical says, ... good to be recognised for the work we are doing ... in 35 countries around the world from Sub-Saharan Africa through ...
Breaking Medicine Technology: