Hemodynamics, fluids & transfusion
Disparities in Unilateral Do Not Resuscitate Order Use During the COVID-19 Pandemic*
Authors' conclusion
In this multihospital study, UDNR orders were used more often for primary Spanish-speaking patients during the COVID-19 pandemic, which may be related to communication barriers Spanish-speaking patients and families experience.
Study context
- Population
- ICU patients receiving vasopressor or inotropic medications at two academic medical centres in Chicago, April 2020–April 2021 (COVID-19 pandemic)
- Participants
- 1,473 patients
- Outcome
- UDNR order use
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
- DNR orders placed
- 41% (n = 604/1,473)
- Unilateral do-not-resuscitate (UDNR) orders placed
- 3% (n = 51/1,473)
- UDNR rate, Spanish vs English primary language (p ≤ 0.0001)
- 10% vs 3%
- UDNR rate, Hispanic/Latinx vs Black vs White (p = 0.003)
- 7% vs 3% vs 2%
- UDNR rate, COVID-19 positive vs not (p ≤ 0.0001)
- 9% vs 3%
- UDNR rate, intubated vs not (p = 0.001)
- 5% vs 1%
- Black race, base multivariable model, aOR
- 2.5 (95% CI 1.3-4.9)
- Primary Spanish language, base multivariable model, aOR
- 4.4 (95% CI 2.1-9.4)
- Primary Spanish language, adjusted also for severity of illness, aOR
- 2.8 (95% CI 1.7-4.7)
Observational data: associations, not effects.
Further findings
Death during admission or discharge to hospice
- Died during admission or discharged to hospice
- 38%
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Disparities in Unilateral Do Not Resuscitate Order Use During the COVID-19 Pandemic*. Crit Care Med. Published 30 March 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →