Abstract | BACKGROUND: AIM: DESIGN: Observational cohort study. SETTING/PARTICIPANTS: Inpatient electronic health record extraction for 2,566 persons age 65 and older who died in 2 New York City hospitals in the United States from 2015 to 2017. RESULTS: Multivariable logistic regression analyses modeled associations between dementia diagnosis, DNR timing, and 6 end-of-life care outcomes. 31% of subjects had a dementia diagnosis; 23% had a DNR on day of hospital admission. Patients with dementia were 18%-40% less likely to have received 4 of 6 types of intensive care ( mechanical ventilation AOR: 0.82, 95%CI: 0.67 -1.00; intensive care unit admission AOR: 0.60, 95%CI: 0.49-0.83). Having a DNR on file was inversely associated with staying in the intensive care unit (AOR: 0.57, 95%CI: 0.47-0.70) and avoiding other intensive care measures. DNR placement later during the hospitalization and not having a DNR were associated with more intensive care compared to having a DNR upon admission. CONCLUSIONS:
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Authors | Elizabeth A Luth, Cynthia X Pan, Martin Viola, Holly G Prigerson |
Journal | The American journal of hospice & palliative care
(Am J Hosp Palliat Care)
Vol. 38
Issue 12
Pg. 1417-1425
(Dec 2021)
ISSN: 1938-2715 [Electronic] United States |
PMID | 33467864
(Publication Type: Journal Article, Observational Study)
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Topics |
- Aged
- Cohort Studies
- Dementia
(therapy)
- Humans
- Intensive Care Units
- Resuscitation Orders
- Retrospective Studies
- Terminal Care
- United States
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