Characteristics of residents with do-not-resuscitate orders in nursing homes. Arch Fam Med 1995 May;4(5):463-7
Date
05/01/1995Pubmed ID
7742971DOI
10.1001/archfami.4.5.463Scopus ID
2-s2.0-0029299426 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
We determined patient characteristics associated with do-not-resuscitate (DNR) status in nursing homes using cross-sectional analysis of secondary data derived from Minimum Data Set documents in 14 nursing homes from one state in the upper Midwest. The primary outcome variable was DNR status. Bivariate analysis was first carried out on all variables. Variables associated with DNR status at this stage were then included in a stepwise logistic regression to determine variables independently associated with DNR status. Overall, 71% of patients had DNR orders. Variables found to be independently associated with a higher probability of DNR status were increasing age, female gender, worse cognitive function, durable power of attorney, being self-paying, or having commercial insurance. Lack of daily contact with relatives and friends and lack of involvement with others were associated with lower probability of DNR status. A higher prevalence of DNR status in nursing homes was seen than in prior literature. The patient characteristics shown to be associated with DNR status may give important insight into the reasons that such decisions are made.
Author List
Mark DH, Bahr J, Duthie EH, Tresch DDAuthor
Edmund H. Duthie MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Age FactorsAged
Aged, 80 and over
Cross-Sectional Studies
Female
Homes for the Aged
Humans
Insurance, Health
Living Wills
Logistic Models
Male
Medicaid
Medicare
Nursing Homes
Prevalence
Resuscitation Orders
Sex Factors
Socioeconomic Factors
United States
