Safety, quality & education

Does Reframing Do Not Resuscitate to Beneficial Care Only Increase Acceptance of No-CPR Orders?

ChestPublished Cross-sectional study

Authors' conclusion

We found no statistically significant difference in preference between BCO and DNR orders for a terminally ill patient.

Study context

Population
US adults presented with a hypothetical scenario of a terminal patient99% response rate
Participants
599 adults
Exposure
Beneficial care only (BCO) vs do not resuscitate (DNR)
Outcome
Preference to forgo FC status and accept a no-CPR order
Methodological detailssurvey, hypothetical scenario, randomised framing (one-half each), nationally representative
  • Survey
  • Hypothetical scenario
  • Randomised framing (one-half each)
  • Nationally representative

Main finding

As reported in the abstract

  • No difference in preference for BCO or DNR overall and across sociodemographic characteristics
  • BCO vs DNR: P = 0.7616

Observational data: associations, not effects.

Further findings

Reasons for choosing against CPR (themes)

Similar themes for DNR and BCO (harms of CPR, lack of quality of life, trust in medical team, avoidance of suffering)
Two themes only with BCO: CPR would be useless; patient would continue to receive beneficial care

Original publication

Does Reframing Do Not Resuscitate to Beneficial Care Only Increase Acceptance of No-CPR Orders? Chest. Published 28 August 2024. doi:10.1016/j.chest.2024.08.027

Composed by AI from the published abstract and checked against it. How Briefs are made →

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