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

Crit CarePublished Retrospective cohort study

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 < 0.001
CRRT: 28.6% vs. 6.7%
4.4(3.6–5.4)
P < 0.001

Observational data: associations, not effects.

Further findings

Mortality

P < 0.0001

ICU LOS

P < 0.001

OutcomeP 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

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