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Cited by 17Palliative Care and End-of-Life IssuesCardiac Arrest and ResuscitationEthics and bioethics in healthcare

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Patients' characteristics associated with the decision of “do not attempt cardiopulmonary resuscitation” order in a Swiss hospital

Chevaux, Fabienne, Gagliano, Mariangela, Waeber, Gérard, Marques-Vidal, Pedro, Schwab, Marcos·2015·European Journal of Internal Medicine
DOI 10.1016/j.ejim.2015.04.003
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Abstract

Background According to Swiss legislation, do not attempt cardiopulmonary resuscitation (DNACPR) order can be made at any time by patients only, unless the resuscitation is considered as futile, based on the doctors' evaluation. Little is known about how this decision is made, and which are the factors influencing this decision. Methods Observational, cross-sectional study was conducted between March and May 2013 on 194 patients hospitalized in the general internal medicine ward of a Swiss hospital. The associations between patients' DNACPR orders and gender, age, marital status, nationality, religion, number and type of comorbidities were assessed. Results 102 patients (53%) had a DNACPR order: 27% issued by the patient him/herself, 12% by his/her relatives and 61% by the medical team. Patients with a DNACPR order were significantly older: 80.7 ± 10.8 vs. 67.5 ± 15.1 years in the "with" and "without" DNACPR order group, respectively, p < 0.001. Oncologic disease was associated with a DNACPR order issued by the medical team (37.5% vs. 16.9% in the "with" and "without" DNACPR order group, respectively, p < 0.05). Being protestant was associated with a DNACPR order issued by the patient (57.9% vs. 25.9% in the "with" and "without" DNACPR order group, respectively p < 0.01). Conclusions Over half of the patients admitted to a general internal medicine ward had a DNACPR order issued within the first 72 h of hospitalization. Older age and oncologic disease were associated with a DNACPR decision by the medical team, while protestant religion was associated with a DNACPR decision by the patient.

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  • In another study, 66% of DNACPR decisions were made by the medical team without asking the patient or those close to the patient.

    “while in another study 66% of decisions were made by the medical team without asking the patient or those close to the patient.26”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [26]

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Research works printed but not linked: 31

  1. Shepardson, 1999, Increased risk of death in patients with do-not-resuscitate orders, Med Care, 37, 727, 10.1097/00005650-199908000-00003 · DOI
  2. Henneman, 1994, Effect of do-not-resuscitate orders on the nursing care of critically ill patients, Am J Crit Care, 3, 467, 10.4037/ajcc1994.3.6.467 · DOI
  3. Beach, 2002, The effect of do-not-resuscitate orders on physician decision-making, J Am Geriatr Soc, 50, 2057, 10.1046/j.1532-5415.2002.50620.x · DOI
  4. Smith, 2005, Staff awareness of a “Do Not Attempt Resuscitation” policy in a District General Hospital, Resuscitation, 65, 159, 10.1016/j.resuscitation.2004.11.019 · DOI
  5. Lipton, 1986, Do-not-resuscitate decisions in a community hospital. Incidence, implications, and outcomes, JAMA, 256, 1164, 10.1001/jama.1986.03380090104026 · DOI
  6. Becerra, 2011, “Do not attempt resuscitation” and “cardiopulmonary resuscitation” in an inpatient setting: factors influencing physicians' decisions in Switzerland, Gerontology, 57, 414, 10.1159/000319422 · DOI
  7. Eliasson, 1999, Impediments to writing do-not-resuscitate orders, Arch Intern Med, 159, 2213, 10.1001/archinte.159.18.2213 · DOI
  8. Gilligan, 1996, Whose death is it, anyway?, Ann Intern Med, 125, 137, 10.7326/0003-4819-125-2-199607150-00010 · DOI
  9. Vetsch, 2002, DNR orders at a tertiary care hospital—are they appropriate?, Swiss Med Wkly, 132, 190
  10. De Gendt, 2007, Prevalence of patients with do-not-resuscitate status on acute geriatric wards in Flanders, Belgium, J Gerontol A Biol Sci Med Sci, 62, 395, 10.1093/gerona/62.4.395 · DOI
  11. Richardson, 2013, End-of-life decision-making for patients admitted through the emergency department: hospital variability, patient demographics, and changes over time, Acad Emerg Med, 20, 381, 10.1111/acem.12112 · DOI · Paper page
  12. Junod Perron, 2002, Evaluation of do not resuscitate orders (DNR) in a Swiss community hospital, J Med Ethics, 28, 364, 10.1136/jme.28.6.364 · DOI
  13. Messinger-Rapport, 2005, Predictors of do not resuscitate orders in the nursing home, J Am Med Dir Assoc, 6, 18, 10.1016/j.jamda.2004.12.006 · DOI
  14. Hakim, 1996, Factors associated with do-not-resuscitate orders: patients' preferences, prognoses, and physicians' judgments. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment, Ann Intern Med, 125, 284, 10.7326/0003-4819-125-4-199608150-00005 · DOI
  15. Lawrence, 1987, Cancer and resuscitation. Does the diagnosis affect the decision?, Arch Intern Med, 147, 1637, 10.1001/archinte.1987.00370090113019 · DOI
  16. Miller, 1993, Factors influencing physicians in recommending in-hospital cardiopulmonary resuscitation, Arch Intern Med, 153, 1999, 10.1001/archinte.1993.00410170073007 · DOI
  17. Van Delden, 2006, Do-not-resuscitate decisions in six European countries, Crit Care Med, 34, 1686, 10.1097/01.CCM.0000218417.51292.A7 · DOI
  18. Kaldjian, 2009, Code status discussions and goals of care among hospitalised adults, J Med Ethics, 35, 338, 10.1136/jme.2008.027854 · DOI
  19. Van der Heide, 2003, End-of-life decision-making in six European countries: descriptive study, Lancet, 362, 345, 10.1016/S0140-6736(03)14019-6 · DOI
  20. Jackson, 2004, Do-not-resuscitate orders in patients hospitalized with acute myocardial infarction: the Worcester Heart Attack Study, Arch Intern Med, 164, 776, 10.1001/archinte.164.7.776 · DOI
  21. Goldberger, 2012, Duration of resuscitation efforts and survival after in-hospital cardiac arrest: an observational study, Lancet, 380, 1473, 10.1016/S0140-6736(12)60862-9 · DOI
  22. Ebell, 2011, Pre-arrest predictors of failure to survive after in-hospital cardiopulmonary resuscitation: a meta-analysis, Fam Pract, 28, 505, 10.1093/fampra/cmr023 · DOI
  23. Löfmark, 2002, Conditions and consequences of medical futility—from a literature review to a clinical model, J Med Ethics, 28, 115, 10.1136/jme.28.2.115 · DOI
  24. Fassassi, 2009, Assessment of the capacity to consent to treatment in patients admitted to acute medical wards, BMC Med Ethics, 10, 15, 10.1186/1472-6939-10-15 · DOI
  25. Yuen, 2011, Hospital do-not-resuscitate orders: why they have failed and how to fix them, J Gen Intern Med, 26, 791, 10.1007/s11606-011-1632-x · DOI
  26. Bowker, 1999, Predicting unsuccessful cardiopulmonary resuscitation (CPR): a comparison of three morbidity scores, Resuscitation, 40, 89, 10.1016/S0300-9572(99)00008-8 · DOI
  27. Van de Glind, 2013, Pre-arrest predictors of survival after resuscitation from out-of-hospital cardiac arrest in the elderly a systematic review, BMC Geriatr, 13, 68, 10.1186/1471-2318-13-68 · DOI
  28. Kjørstad, 2013, Cardiopulmonary resuscitation in palliative care cancer patients, Tidsskr Nor Laegeforen, 133, 417, 10.4045/tidsskr.12.0378 · DOI
  29. Karches, 2012, Religiosity, spirituality, and end-of-life planning: a single-site survey of medical inpatients, J Pain Symptom Manage, 44, 843, 10.1016/j.jpainsymman.2011.12.277 · DOI
  30. Balboni, 2007, Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life, J Clin Oncol, 25, 555, 10.1200/JCO.2006.07.9046 · DOI · Paper page
  31. Phelps, 2009, Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer, JAMA, 301, 1140, 10.1001/jama.2009.341 · DOI

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Metadata

Authors
Chevaux, F., Gagliano, M., Waeber, G., Marques-Vidal, P., & Schwab, M.
Affiliations
Centre Hospitalier Universitaire Vaudois (CH)
Corresponding author
  • Chevaux, Fabienne
  • Gagliano, Mariangela
  • Waeber, Gérard
  • Marques-Vidal, Pedro
  • Schwab, Marcos
ORCID
Venue
European Journal of Internal Medicine
Publisher
Elsevier BV
Published
2015-06
Volume
26
Issue
5
Pages
311-316
ISSN
0953-6205 (ISSN-L)
DOI
10.1016/j.ejim.2015.04.003
OpenAlex
W1988316767
Cited by
17
References
1
Citations by year
2025: 2 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2018: 4 · 2017: 3 · 2016: 1
FWCI
2.85
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • European Journal of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS (submittedVersion)
  • SERVAL (Université de Lausanne) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
DNACPR, end-of-life decisions, patient characteristics, age, cancer, Protestantism, comorbidities, internal medicine ward, Swiss legislation, resuscitation decisions
MeSH terms
Adult, Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Decision Making, Female, Health Status, Hospitalization, Humans, Male, Middle Aged, Socioeconomic Factors, Switzerland, Time Factors, Resuscitation Orders, Cardiopulmonary Resuscitation

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