Cardiac arrest & resuscitation
Race and Ethnicity and Early Do Not Attempt Resuscitation Orders After In-Hospital Cardiac Arrest
Authors' conclusion
In this cohort study of patients successfully resuscitated from IHCA, American Indian or Alaska Native, Black, and Hispanic patients were less likely to have early DNAR orders than White patients. There were no differences in survival among patients with early DNAR orders placed.
Study context
- Population
- Adults (≥18 years) with an index in-hospital cardiac arrest (IHCA) successfully resuscitated on an admitted unit, US Get With the Guidelines - Resuscitation database (>350 hospitals)achieved ROSC after IHCA
- Participants
- 93,843 adults
- Exposure
- American Indian or Alaska Native, Black, Hispanic vs White patients
- American Indian or Alaska Nativen = 2,380
- Asiann = 764
- Blackn = 21,261
- Hispanicn = 6,998
- Whiten = 56,989reference
- Outcome
- Entry of early DNAR orders by race and ethnicity; among patients with early DNAR orders, survival to hospital discharge by race
- Follow-up
- 12 hours and 72 hours
Methodological detailsmulticentre registry
- Multicentre registry
Main finding
As reported in the abstract
DNAR order within 12 hours · 12 hours
Each group vs whiteOdds ratio (95% CI)
American Indian or Alaska Native
0.78(0.67–0.91)
Black
0.74(0.69–0.79)
Hispanic
0.90(0.82–0.99)
Observational data: associations, not effects.
Further findings
| Outcome | White | American Indian or Alaska Native | Black | Hispanic | OR (95% CI) | |
|---|---|---|---|---|---|---|
| DNAR orders entered within 72 h · 72 hoursBlack vs White | 37.4% | 33.4% | 32.7% | 33.2% | 0.73 (0.69–0.77) | |
| DNAR orders entered within 72 h · 72 hoursHispanic vs White | 0.89 (0.83–0.97) | |||||
| 0.512Odds ratio (log scale) |
Survival to discharge among patients with ROSC
Survival to discharge among patients with early do not attempt resuscitation (DNAR) order (before 72 h)
- No significant difference vs White patients (adjusted analyses)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Race and Ethnicity and Early Do Not Attempt Resuscitation Orders After In-Hospital Cardiac Arrest. JAMA Netw Open. Published 2 January 2026. doi:10.
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