Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards

Mortality from COVID-19 has been particularly high in elderly patients on mechanical ventilation. Treatment outcomes for patients with do-not-intubate (DNI) status are unknown. One hundred patients admitted to the non-ICU ward during the “first wave” were retrospectively analyzed. Mortality rate was 49% in patients with a DNI order. This subgroup was characterized by significantly higher age, more comorbidity, and care dependency. Mortality among DNI patients was three times higher than other patients, but not higher than some of the published mortality rates for elderly mechanically ventilate... Mehr ...

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Verfasser: van der Veer, Tjeerd
van der Sar-van der Brugge, Simone
Paats, Marthe S.
van Nood, Els
de Backer, Ingrid C.
Aerts, Joachim G.J.V.
van der Eerden, Menno M.
Dokumenttyp: Artikel
Erscheinungsdatum: 2021
Reihe/Periodikum: van der Veer , T , van der Sar-van der Brugge , S , Paats , M S , van Nood , E , de Backer , I C , Aerts , J G J V & van der Eerden , M M 2021 , ' Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards ' , European Journal of Clinical Microbiology and Infectious Diseases , vol. 40 , no. 10 , pp. 2207-2209 . https://doi.org/10.1007/s10096-021-04223-4
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27073688
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://pure.eur.nl/en/publications/cb42f4c9-4d76-477f-a957-2fe5fb9ec745

Mortality from COVID-19 has been particularly high in elderly patients on mechanical ventilation. Treatment outcomes for patients with do-not-intubate (DNI) status are unknown. One hundred patients admitted to the non-ICU ward during the “first wave” were retrospectively analyzed. Mortality rate was 49% in patients with a DNI order. This subgroup was characterized by significantly higher age, more comorbidity, and care dependency. Mortality among DNI patients was three times higher than other patients, but not higher than some of the published mortality rates for elderly mechanically ventilated patients. Advanced care planning is essential in COVID-19 to assist patient autonomy and prevent non-beneficial medical interventions.