Cardiac arrest & resuscitation

Do not attempt resuscitation orders at out-of-hospital cardiac arrest in Denmark

ResuscitationPublished Nationwide register-based cohort study

Authors' conclusion

Between 2016 and 2023, in Denmark, there has been a significant increasing trend in the number of OHCAs treated despite DNAR orders. DNAR orders were most frequently observed among older patients, and the prevalence increased progressively with age. National OHCA survival rates are somewhat underestimated, as the inclusion of patients with DNAR orders lowers the reported figures; excluding these cases would yield higher survival estimates.

Study context

Population
Out-of-Hospital Cardiac Arrest (OHCA) patients aged ≥18 years in Denmark, January 1, 2016 to December 31, 2023
Outcome
Epidemiology of DNAR orders in OHCA cases

Main finding

As reported in the abstract

Proportion of OHCA with an existing DNAR order

OHCA with donotattemptresuscitation (DNAR) order, 2016

1%

OHCA with DNAR order, 2023

3%

Observational data: associations, not effects.

Further findings

Overall survival if OHCA with DNAR order excluded

Additional survival, 2016
0.1%
Additional survival, 2023
0.5%

Original publication

Do not attempt resuscitation orders at out-of-hospital cardiac arrest in Denmark. Resuscitation. Published 5 January 2026. doi:10.1016/j.resuscitation.2026.110959

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