DNACPR orders, DNR order, DNAR order, CPR, CPR status, descriptive, ED Beleidsbeperking, behandelbeperking, NR beleid, reanimatie, SEH
Conditions
Interventions
none
Sponsors
none
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients admitted from the ED from participating hospitals
Exclusion criteria
Exclusion criteria: none
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| frequency of change in CPR status (as determined in the ED) during hospital stay | — |
Secondary
| Measure | Time frame |
|---|---|
| We plan to perform subgroup analyses to determine the patient characteristics that correlate with the group of patients for whom the CPR status was changed. We determined the following patient characteristics: - age (18-40, 40-50, 50-60, 60-70, 70-80, 80+) - sex (F/M/other) - amount of hospital admissions in the previous year (3) - comorbidities classified (using ICD-10 codes registered as part of the DBC system) as: 1. neoplasms 2. diabetes mellitus 3. liver insufficiency 4. cardiovascular disease 5. chronic respiratory disease 6. renal insufficiency - ICU admissions (direct, delayed, no admission) - compounded surrogate measure of frailty, yet to be defined - reason for change in CPR status (medical futility/patient preference/not specified) - family present during end-of-life conversation (yes/no/not specified) - in case of IHCA: survivor or non-survivor Predefined hospital and other characteristics: - time of ED presentation (day shift 7:00-15:00, evening shift 15:00-22:00, night shift 22:00-7:00) - which doctor registers CPR status (junior vs senior, ED vs other specialty) - differences between hospitals - in Westfriesgasthuis patients: comparison between frequency of CPR status registration in the ED and change in CPR status during admission before and after change of protocol (February 2017) | — |
Contacts
Public ContactSarah Coppes
SEH Spaarne Gasthuis
Outcome results
None listed