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Do Not Resuscitate Orders for Patients with Intracerebral Hemorrhage: Experience from a Chinese Tertiary Care Center

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收录情况： ◇ SCIE

作者：

机构： [1]Capital Med Univ, Beijing Tiantan Hosp,Beijing Key Lab Translat Med, China Natl Clin Res Ctr Neurol Dis,Emergency Dept, Ctr Stroke,Beijing Neurosurg Inst,Beijing Inst Br, Beijing 100050, Peoples R China

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关键词： Do not resuscitate Intracerebral hemorrhage Prognosis Mortality

摘要：

Aim: This study aimed to determine the frequency and determinant factors of do not resuscitate (DNR) orders in patients with intracerebral hemorrhage (ICH) at a university hospital in China. Methods: Data collected from June 2010 to December 2012 for patients with ICH were retrospectively reviewed. The characteristics and care of patients with and without DNR orders and those with early (<= 24 h) and late (>24 h) DNR establishment were compared. Results: Formal DNR orders were filed during hospitalization for 64/759 (8.4%) patients with complete medical records enrolled in this study. Patients with DNR orders were older on average (73.1 +/- 10.1 vs. 56.0 +/- 13.2 years; p < 0.001) and a larger proportion had pre-ICH comorbidity impacting dependency (87.5 vs. 17.0%; p < 0.001) than did those with no DNR order. Patients with DNR orders were in worse clinical condition on arrival than those without a DNR order, as judged by Glasgow Coma Scale scores, and more frequently had large hematoma volumes (78.1 vs. 39.7%; p < 0.001). Conclusions: DNR orders were not used commonly for patients with ICH in this Chinese sample. No relationship between ICH severity and DNR decision making was observed. (C) 2015 S. Karger AG, Basel

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出版当年[2014]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区神经科学

最新[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区神经科学

JCR分区：

出版当年[2013]版：

Q4 CLINICAL NEUROLOGY Q4 NEUROSCIENCES

最新[2023]版：

Q3 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

影响因子： 2.1 最新[2023版] 2 最新五年平均 1.362 出版当年[2013版] 1.685 出版当年五年平均 1.5 出版前一年[2012版] 1.356 出版后一年[2014版]

第一作者：

第一作者机构： [1]Capital Med Univ, Beijing Tiantan Hosp,Beijing Key Lab Translat Med, China Natl Clin Res Ctr Neurol Dis,Emergency Dept, Ctr Stroke,Beijing Neurosurg Inst,Beijing Inst Br, Beijing 100050, Peoples R China

通讯作者：

通讯机构： [1]Capital Med Univ, Beijing Tiantan Hosp,Beijing Key Lab Translat Med, China Natl Clin Res Ctr Neurol Dis,Emergency Dept, Ctr Stroke,Beijing Neurosurg Inst,Beijing Inst Br, Beijing 100050, Peoples R China

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