Publication
Title
Comprehensive geriatric assessment as an essential tool to register or update DNR codes in a tertiary care hospital
Author
Abstract
PurposeTo investigate the prevalence of Do not Resuscitate (DNR) code registration in patients with a geriatric profile admitted to Antwerp University Hospital, a tertiary care hospital in Flanders, Belgium, and the impact of comprehensive geriatric assessment (CGA) on DNR code registration. Patients and methodsRetrospective analysis of a population of 543 geriatric patients (mean age 82.4 +/- 5.19 years, 46.4% males) admitted to Antwerp University Hospital from 2018 to 2020 who underwent a CGA during admission. An association between DNR code registration status before and at hospital admission and age, gender, ethnicity, type of residence, clinical frailty score (CFS), cognitive and oncological status, hospital ward and stay on intensive care was studied. Admissions before and during the first wave of the pandemic were compared. ResultsAt the time of hospital admission, a DNR code had been registered for 66.3% (360/543) of patients. Patients with a DNR code at hospital admission were older (82.7 +/- 5.5 vs. 81.7 +/- 4.6 years, p = 0.031), more frail (CFS 5.11 +/- 1.63 vs. 4.70 +/- 1.61, p = 0.006) and less likely to be admitted to intensive care. During the hospital stay, the proportion of patients with a DNR code increased to 77% before and to 85.3% after CGA (p < 0.0001). Patients were consulted about and agreed with the registered DNR code in 55.8% and 52.1% of cases, respectively. The proportion of patients with DNR codes at the time of admission or registered after CGA did not differ significantly before and after the start of the COVID-19 pandemic. ConclusionAfter CGA, a significant increase in DNR registration was observed in hospitalized patients with a geriatric profile.
Language
English
Source (journal)
European geriatric medicine / European Union Geriatric Medicine Society. - Amsterdam, 2010, currens
Publication
New york : Springer , 2024
ISSN
1878-7649 [print]
1878-7657 [online]
DOI
10.1007/S41999-023-00925-4
Volume/pages
(2024) , 9 p.
ISI
001151055200001
Pubmed ID
38277096
Full text (Publisher's DOI)
Full text (open access)
The author-created version that incorporates referee comments and is the accepted for publication version Available from 26.07.2024
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identifier
Creation 04.03.2024
Last edited 02.04.2024
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