Cardiac arrest & resuscitation
Outcome and critical care resources utilised by do not attempt cardiopulmonary resuscitation (DNACPR) patients admitted to the intensive care unit (ICU) at a tertiary hospital in Saudi Arabia: a retrospective review of the critical care database
Authors' conclusion
DNACPR patients consumed a significant amount of ICU resources after the DNACPR decision was made. The findings underscore significant disparities in both resource consumption and clinical outcomes
Study context
- Population
- Patients admitted to the ICU at King Abdullah Medical City, Makkah, Saudi Arabia, January 2016 to June 2023
- Participants
- 7,104 patients
- Exposure
- DNACPR vs non-DNACPR ICU patients
- DNACPRn = 988
- non-DNACPRn = 6,116reference
- Outcome
- ICU resources utilised after the DNACPR decision (mechanical ventilation, CRRT, radiological imaging, blood product transfusion) and outcomes
Methodological detailssingle-centre, registry-based, multivariate adjustment for severity of illness
- Single-centre
- Registry-based
- Multivariate adjustment for severity of illness
Main finding
As reported in the abstract
ICU resource utilisation
DNACPR vs non-DNACPRAdjusted odds ratio (95% CI)P value
Mechanical ventilation: 88.9% vs. 41.4%
7.8(6.1–9.9)
P < 0.001CRRT: 28.6% vs. 6.7%
4.4(3.6–5.4)
P < 0.001Observational data: associations, not effects.
Further findings
Mortality
P < 0.0001
ICU LOS
P < 0.001
| Outcome | P value |
|---|---|
| ICU interventions, emergent admissions only (subgroup) | P < 0.001 |
- ICU interventions, emergent admissions only (subgroup): mechanical ventilation, continuous renal replacement therapy (CRRT), radiological imaging and blood transfusion significantly higher in DNACPR
Original publication
Outcome and critical care resources utilised by do not attempt cardiopulmonary resuscitation (DNACPR) patients admitted to the ICU at a tertiary hospital in Saudi Arabia: a retrospective review of the critical care database. Crit Care. Published 29 September 2025. doi:10. 1186/ s13054-025-05656-5
Composed by AI from the published abstract and checked against it. How Briefs are made →