American Heart Journal
Volume 156, Issue 1 , Pages 78-84 , July 2008

Impact of do-not-resuscitation orders on quality of care performance measures in patients hospitalized with acute heart failure

  • Joline L.T. Chen, MD, MS

      Affiliations

    • Renal Section, Boston University School of Medicine, Boston, MA
    • Corresponding Author InformationReprint requests: Joline L.T. Chen, MD, MS, Renal Section, Boston University School of Medicine, EBRC Suite 504, 650 Albany St, Boston, MA 02118.
    • ,
  • Jonathan Sosnov, MD, MS

      Affiliations

    • Division of Nephrology and Hypertension, Miller School of Medicine at the University of Miami, Miami, FL
    • ,
  • Darleen Lessard, MS

      Affiliations

    • Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Robert J. Goldberg, PhD

      Affiliations

    • Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA

Received 18 October 2007 ,Accepted 24 January 2008.

References 

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  2. Beach MC, Morrison RS. The effect of do-not-resuscitate orders on physician decision-making. J Am Geriatr Soc. 2002;50:2057–2061
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  4. Bedell SE, Pelle D, Maher PL, et al. Do-not-resuscitate orders for critically ill patients in the hospital. How are they used and what is their impact. JAMA. 1986;256:233–237
  5. Goldberg RJ, Ciampa J, Lessard D, et al. Long-term survival after heart failure: a contemporary population-based perspective. Arch Intern Med. 2007;167:490–496
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  7. Bonow RO, Bennett S, Casey DE, et al. ACC/AHA Clinical Performance Measures for Adults with Chronic Heart Failure: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Heart Failure Clinical Performance Measures): endorsed by the Heart Failure Society of America. Circulation. 2005;112:1853–1887
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  13. Levey AS, Bosch JP, Lewis JB, et al. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med. 1999;130:461–470
  14. Weiss GL, Hite CA. The do-not-resuscitate decision: the context, process, and consequences of DNR orders. Death Stud. 2000;24:307–323
  15. Jackson EA, Yarzebski JL, Goldberg RJ, et al. Do-not-resuscitate orders in patients hospitalized with acute myocardial infarction: the Worcester Heart Attack Study. Arch Intern Med. 2004;164:776–783
  16. Zweig SC, Kruse RL, Binder EF, et al. Effect of do-not-resuscitate orders on hospitalization of nursing home residents evaluated for lower respiratory infections. J Am Geriatr Soc. 2004;52:51–58
  17. Zimmerman JE, Knaus WA, Sharpe SM, et al. The use and implications of do not resuscitate orders in intensive care units. JAMA. 1986;255:351–356
  18. La Puma J, Silverstein MD, Stocking CB, et al. Life-sustaining treatment. A prospective study of patients with DNR orders in a teaching hospital. Arch Intern Med. 1988;148:2193–2198
  19. Rapoport J, Teres D, Lemeshow S. Resource use implications of do not resuscitate orders for intensive care unit patients. Am J Respir Crit Care Med. 1996;153:185–190
  20. Lipton HL. Do-not-resuscitate decisions in a community hospital: implications for quality care. QRB Qual Rev Bull. 1987;13:226–231

 This research was made possible by the cooperation of the medical records, administration, and cardiology departments of participating hospitals in the Worcester metropolitan area and through funding support provided by the National Institutes of Health, Bethesda, MD (R37 HL69874).

PII: S0002-8703(08)00134-8

doi: 10.1016/j.ahj.2008.01.030

American Heart Journal
Volume 156, Issue 1 , Pages 78-84 , July 2008

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