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Updated: Jun 27, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
[Before and after implementation of do-not-resuscitate orders in a stroke unit]
Christer Mjåset1, Pål Gulbrandsen, Ole Morten Rønning
1Nevrologisk avdeling Akershus universitetssykehus 1478 Lørenskog. chmja@online.no
Summary
Few studies explored do-not-resuscitate (DNR) orders in Norway. Patients with DNR orders were elderly with severe strokes, yet treatment was seldom withheld, leading to high mortality rates.
Area of Science:
- Neurology
- Geriatrics
- Public Health
Background:
- Limited research exists on do-not-resuscitate (DNR) orders in Norway.
- Understanding DNR orders' impact on stroke patient treatment and outcomes is crucial.
Purpose of the Study:
- To investigate the prevalence and implications of DNR orders in stroke patients.
- To analyze treatment patterns and patient outcomes following DNR orders.
Main Methods:
- Retrospective study of stroke patients with DNR orders at Akershus University Hospital in 2005.
- Data collection on patient demographics, stroke severity (NIH Stroke Scale), treatment modifications, and mortality.
Main Results:
- 9% of 855 stroke patients had DNR orders; mean age 80, severe strokes (NIHSS 19).
- Hospital mortality was 49%. Limited treatment occurred in 54% of DNR patients, with 63% mortality.
- Despite high morbidity, treatment was rarely withheld post-DNR order.
Conclusions:
- DNR patients were elderly with severe strokes and high mortality.
- Treatment limitations were infrequent despite the presence of DNR orders.
- Further research needed on DNR order implementation in stroke care.
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