Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Do-not-resuscitate orders in acute stroke

A V Alexandrov1, C F Bladin, E M Meslin

  • 1Stroke Research Unit, University of Toronto, ON, Canada.

Neurology
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pulse pressure variability is associated with unfavorable outcomes in acute ischaemic stroke patients treated with intravenous thrombolysis.

European journal of neurology·2020
Same author

Intravenous thrombolysis for large vessel or distal occlusions presenting with mild stroke severity.

European journal of neurology·2020
Same author

[Biomechanical Analysis of Posture and Movement Coordination in Standing Human During Trunk Bending in the Sagittal Plane].

Zhurnal vysshei nervnoi deiatelnosti imeni I P Pavlova·2019
Same author

Fatal oral anticoagulant-related intracranial hemorrhage: a systematic review and meta-analysis.

European journal of neurology·2018
Same author

Differential leukocyte counts on admission predict outcomes in patients with acute ischaemic stroke treated with intravenous thrombolysis.

European journal of neurology·2018
Same author

Minocycline and matrix metalloproteinase inhibition in acute intracerebral hemorrhage: a pilot study.

European journal of neurology·2017

Do-not-resuscitate (DNR) orders in acute stroke patients are linked to severe neurological deficits, patient incapacity, older age, and non-surgical brain bleeds. Current practices are mostly satisfactory but require revisions for criteria like age and operable intracerebral hemorrhage.

Area of Science:

  • Neurology
  • Critical Care Medicine
  • Medical Ethics

Background:

  • Do-not-resuscitate (DNR) orders are crucial in acute care but lack specific guidelines for acute stroke patients.
  • Existing data on factors influencing DNR decisions in stroke populations are limited.

Purpose of the Study:

  • To evaluate clinical factors associated with DNR orders in acute hemispheric stroke patients.
  • To inform the development of specific guidelines for DNR decision-making in this population.

Main Methods:

  • Prospective study of 450 consecutive acute hemispheric stroke patients.
  • Analysis of demographic, clinical, and outcome data, including neurologic deficit severity (Canadian Neurological Scale).

Main Results:

Keywords:
Empirical ApproachSunnybrook Health Science Centre (ON)

Related Experiment Videos

  • 31% of patients received DNR status; 83% of these patients died.
  • DNR decisions strongly correlated with severe neurologic deficit (CNS score ≤ 5), patient incapacity, age > 60, and non-operable intracerebral hemorrhage (ICH).
  • DNR orders were issued early in admission (53% within 24 hours) or later due to complications.

Conclusions:

  • DNR decision-making in acute stroke is influenced by severity, patient capacity, age, and hemorrhage type.
  • While generally satisfactory, current criteria for DNR orders in stroke patients, particularly regarding age and operable ICH, warrant revision.