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Title: Resuscitation orders in acute hospitals: A point prevalence study.
Epworth Authors: Robertson, Megan
Other Authors: Mills, Amber
Walker, Anne
Levinson, Michele
Hutchinson, Alison
Stephenson, Gemma
Gellie, Anthea
Heriot, George
Newnham, Harvey
Keywords: Cardiopulmonary Resuscitation
Medical Futility
Resuscitation Orders
Withholding Treatment
Emergency Treatment
Terminal Care
Advance Care Planning
Medical Emergency Teams
MET Calls
Critical Care Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Oct-2016
Publisher: Wiley
Citation: Australasian Journal of Ageing. 2016 Oct 19. doi: 10.1111/ajag.12354. [Epub ahead of print]
Abstract: OBJECTIVE: To determine the prevalence of resuscitation orders and Advance Care Plans, and the relationship with Medical Emergency Team (MET) calls. METHOD: A point prevalence review of patient records at five Victorian hospital services. RESULTS: One thousand nine hundred and thirty-four patient records were reviewed, and 230 resuscitation orders and 15 Advance Care Plans found. Significantly, more resuscitation orders were found at public hospitals. Patients admitted to private hospitals were older, with shorter admissions. A further 24 orders were written following MET calls for 97 patients. Only 16% of patients aged 80+ years had a resuscitation order written within 24 hours of admission. CONCLUSION: Fewer resuscitation orders were written at admission for older adults than might be expected if goals of care and resuscitation outcome are considered. MET continue to have a prominent role in end-of-life care. Consideration and documentation about treatment plans are needed early in an admission to avoid burdensome and futile resuscitation events.
DOI: 10.1111/ajag.12354
PubMed URL:
ISSN: 1741-6612
Journal Title: Australasian Journal of Ageing
Type: Journal Article
Affiliated Organisations: Cabrini-Monash University Department of Medicine, Cabrini Institute, Melbourne, Victoria, Australia.
The Alfred Hospital, Melbourne, Victoria, Australia.
Monash University, Melbourne, Victoria, Australia.
Centre for Nursing Research, Deakin University and Monash Health Partnership, Melbourne, Victoria, Australia.
Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Type of Clinical Study or Trial: Review
Appears in Collections:Emergency Care

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