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:10/13/2017)... ... , ... Apple Rehab Shelton Lakes , which specializes in the delivery ... as part of a disaster drill on October 3rd. , Apple Rehab participated with ... Manager, as well as the Connecticut Long Term Care Mutual Aid Plan (LTC-MAP). ...
(Date:10/13/2017)... ... 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House of ... popular and least understood books in the Holy Scriptures, Revelation. The Book of Revelation ... scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl Hawkins ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... for healthcare compliance program management, will showcase a range of technology and learning ... Assisted Living (NCAL) Convention and Expo to be held October 14–18, 2017 at ...
(Date:10/12/2017)... ... 12, 2017 , ... The American College of Medical Informatics (ACMI) will present ... the Opening Session of AMIA’s Annual Symposium in Washington, D.C. AMIA’s Annual Symposium ... Collen, a pioneer in the field of medical informatics, this prestigious award is presented ...
(Date:10/12/2017)... ... October 12, 2017 , ... Leading pediatric oncology experts at Children’s National ... 49th Congress of the International Society of Paediatric Oncology (SIOP) Oct. 12-15. ... for Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, M.D., ...
Breaking Medicine News(10 mins):
(Date:10/5/2017)... , Oct. 5, 2017  In response ... of Oral and Maxillofacial Surgeons (AAOMS) released prescribing ... – to be used as a first-line therapy ... Recognizing the ... AAOMS White Paper "Opioid Prescribing: Acute and Postoperative ...
(Date:10/4/2017)...  According to the Centers for Disease Control and Prevention (CDC), ... Urgent Care is helping communities across Massachusetts , ... offering no-cost* flu shots through the end of the month. ... regulations. ... a flu shot is by the end of October, according to the ...
(Date:10/2/2017)... Mich. , Oct. 2, 2017 Diplomat ... 8th Day Software and Consulting, LLC , and ... 8th Day Software, based in Tennessee ... LLC. 8th Day expands EnvoyHealth,s service offerings for health ... development. "In an ...
Breaking Medicine Technology: