Ordens de nˋo ressuscitar: pr芍tica versus registro em prontu芍rio

作者：Florence; Luiz Guilherme Araujo; Schvartsman; Claudio; Troster; Eduardo Juan; Gutierrez; Pilar Lecussan; Reis; Amelia Gorete

来源：Jornal de Pediatria, 2009, 85(4): 369-372.

DOI：10.1590/S0021-75572009000400017

• do-not-resuscitate orders
• ethics
• cardiopulmonary resuscitation.

objective: to evaluate the accuracy of pediatric patients%26apos; death records of a tertiary care center, comparing these records with data from a previous study. methods: death records entered on the medical charts of non-resuscitated patients between 1999 and 2001 were compared with the medical procedure during cardiac arrest, which was described based on the utstein-style guidelines. our results were compared (using the chi-square test for equality of distributions) with the results of a previous study, which revealed a significant discrepancy between the medical procedure and the death record entered on the medical chart. results: the data analysis revealed agreement between the medical procedure and the medical record notes in 86.5% of the cases. the agreement rate in the previous study was only 27.5%. conclusions: there was a significant reduction of discrepancy between the medical procedure during a cardiac arrest and the death record entered on the medical chart.