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Resuscitation orders demonstrate differences by gender, stroke type and intervention.

Rudy Goh1, Stephen Bacchi2, Christopher D Ovenden3

  • 1Lyell McEwin Hospital, Elizabeth Vale SA 5112, Australia; Royal Adelaide Hospital, Adelaide SA 5000, Australia; University of Adelaide, Adelaide SA 5005, Australia.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|July 21, 2024
PubMed
Summary
This summary is machine-generated.

Resuscitation order completion rates for stroke patients are low at 37.4%. Factors like endovascular thrombectomy and intracerebral hemorrhage influence completion, with disparities noted for females and certain stroke types.

Keywords:
Advanced care planningCardiopulmonary resuscitationCommunicationGenderPalliative care

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Area of Science:

  • Neurology
  • Critical Care Medicine
  • Medical Ethics

Background:

  • Resuscitation orders document patient preferences for interventions during critical events.
  • Cardiopulmonary resuscitation (CPR) is a key intervention discussed in these orders.
  • Understanding order completion and content is crucial for patient-centered care.

Purpose of the Study:

  • To investigate the completion rates of resuscitation orders among stroke inpatients.
  • To analyze the content of these resuscitation orders.
  • To identify factors influencing resuscitation order completion and content in stroke patients.

Main Methods:

  • Retrospective cohort study design.
  • Inclusion of consecutive stroke admissions over a 21-month period.
  • Utilized multivariable logistic regression to identify associated factors.

Main Results:

  • 37.4% of 1924 stroke inpatients had completed resuscitation orders.
  • Endovascular thrombectomy and intracerebral hemorrhage were linked to higher completion rates.
  • Females and patients with intracerebral hemorrhage were more likely to have orders not specifying CPR.

Conclusions:

  • Significant disparities exist in resuscitation order completion and content.
  • Demographic and stroke-specific characteristics influence order completion.
  • Further research is needed to understand and address these disparities to optimize order completion.