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

作者：Yang, Tie-Cheng; Li, Jian-Guo; Guo, Wei^*

来源：European Neurology, 2015, 73(3-4): 144-149.

DOI：10.1159/000369792

• Do not resuscitate
• Intracerebral hemorrhage
• Prognosis
• Mortality

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.

• 出版日期2015
• 单位北京市神经外科研究所; 首都医科大学