Cardiac arrest & resuscitation
Do-Not-Resuscitate Orders by COVID-19 Status Throughout the First Year of the COVID-19 Pandemic
Authors' conclusion
In this multihospital study, DNR orders remained persistently higher for patients with COVID-19 vs patients without COVID-19 with similar severity of illness during the first year of the pandemic.
Study context
- Population
- All adults admitted to ICUs at two academic medical centres in Chicago, IL, April 2020–April 2021critically ill
- Participants
- 3,070 adults
- Exposure
- COVID-19 positive vs COVID-19 negative ICU patients
- Outcome
- DNR orders by COVID-19 status
Methodological detailsmultihospital, risk-adjusted mixed-effects logistic regression, propensity score matching
- Multihospital
- Risk-adjusted mixed-effects logistic regression
- Propensity score matching
Main finding
As reported in the abstract
DNR orders
COVID-19 vs No COVID-19Adjusted odds ratio (95% CI)
Nonpropensity score-matched cohort (n = 3,070)
2.01(1.64–2.38)
Propensity score-matched cohort (n = 1,118)
1.91(1.45–2.52)
Observational data: associations, not effects.
Further findings
DNR orders by race/ethnicity (subgroup) — Black and Latinx vs White · absolute rates
P = 0.006
| Outcome | P value |
|---|---|
| DNR orders over time (monthly) · April 2020–April 2021 | P = 0.751 |
Do-not-resuscitate (DNR) orders over time (monthly) · April 2020–April 2021
- DNR prevalence higher with COVID-19 in all months of the study period
Original publication
Do-Not-Resuscitate Orders by COVID-19 Status Throughout the First Year of the COVID-19 Pandemic. Chest. Published 29 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →