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Resuscitation orders in acute hospitals: A point prevalence study
Amber Mills1, Anne Walker2, Michele Levinson1,3
1Cabrini-Monash University Department of Medicine, Cabrini Institute, Melbourne, Victoria, Australia.
Australasian Journal on Ageing
|October 21, 2016
Summary
Resuscitation orders and Advance Care Plans are uncommon, especially for older adults. Medical Emergency Team (MET) calls often lead to end-of-life care discussions, highlighting the need for early treatment plan documentation.
Area of Science:
- Medical ethics
- Geriatric medicine
- Critical care medicine
Background:
- Resuscitation orders and Advance Care Plans are crucial for end-of-life care.
- Understanding their prevalence and relationship with medical interventions is important for patient-centered care.
Purpose of the Study:
- To determine the prevalence of resuscitation orders and Advance Care Plans.
- To explore the association between these plans and Medical Emergency Team (MET) calls.
Main Methods:
- A point prevalence review was conducted.
- Patient records from five Victorian hospital services were analyzed.
Main Results:
- 230 resuscitation orders and 15 Advance Care Plans were identified in 1,934 patient records.
- Resuscitation orders were more frequent in public hospitals.
- Only 16% of patients aged 80+ had a resuscitation order within 24 hours of admission.
Conclusions:
- Resuscitation orders for older adults at admission appear infrequent, potentially not aligning with goals of care.
- Medical Emergency Team (MET) calls play a significant role in end-of-life care discussions.
- Early documentation of treatment plans is essential to prevent potentially futile resuscitation events.
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