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For CPR or Not-For-CPR? Demographic Factors Predict Resuscitation Order Documentation and CPR Status in General

Joshua G Kovoor1,2, Stephen Bacchi2,3,4, Daksh Tyagi5

  • 1Ballarat Base Hospital, Ballarat, Victoria, Australia.

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Demographic factors like age and socioeconomic status influence resuscitation order documentation for general surgery patients. Understanding these factors can help improve equitable care during critical health events.

Keywords:
cardiopulmonary resuscitationgeneral surgerygoals of careoutcomesresuscitation orders

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Area of Science:

  • Medical research
  • Health equity
  • Surgical patient care

Background:

  • Healthcare equity is a critical concern.
  • Resuscitation order documentation and not-for-cardiopulmonary resuscitation (CPR) status are key components of end-of-life care.
  • Identifying demographic predictors can improve care equity for general surgery patients.

Purpose of the Study:

  • To identify demographic factors associated with resuscitation order documentation.
  • To determine demographic predictors of not-for-CPR status in general surgery patients.
  • To enhance equitable care for surgical patients experiencing clinical deterioration or end-of-life situations.

Main Methods:

  • Retrospective cohort study of general surgery patients over two years in South Australia.
  • Logistic regression analysis to evaluate associations between demographic factors and resuscitation order documentation/not-for-CPR status.
  • Inclusion of 12,846 patients to assess demographic predictors and their impact on mortality.

Main Results:

  • Increased age, Charlson comorbidity index, and lower socioeconomic status were linked to higher likelihood of resuscitation order documentation.
  • Female sex, increased age, and Charlson comorbidity index were associated with not-for-CPR status.
  • Documented resuscitation orders and not-for-CPR status significantly correlated with increased in-hospital mortality.

Conclusions:

  • Demographic factors significantly predict resuscitation order documentation and content, including not-for-CPR status, in general surgery patients.
  • Findings highlight potential disparities in care related to demographic characteristics.
  • This research can inform strategies to promote more equitable care for surgical patients in critical situations.