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Title: Resuscitation planning on a subacute geriatric evaluation and management ward.
Austin Authors: Strasser, Rupert;Smith, Roger;Yates, Paul A ;Reid, David;Katz, Benny
Affiliation: Austin Health, Heidelberg, Victoria, Australia
St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia
Issue Date: Dec-2019 2019-02-22
Publication information: Australasian journal on ageing 2019; 38(4): e114-e120
Abstract: To describe the use of acute resuscitation plans (ARPs) among patients on a subacute geriatric ward and to identify factors associated with use of ARPs in these patients. The hospital records of all patients admitted to the geriatric medicine ward in 2016 were retrospectively audited. An ARP was completed before separation for 333/442 (75.3%) admissions. In the event of arrest, 240 (54.3%) patients had an ARP specifying "care of the dying", 93 (21.0%) had an ARP specifying "cardiopulmonary resuscitation" and 109 (24.7%) had no resuscitation plan. Age 85-94 years (OR 1.65, P = 0.04) and ≥95 years (OR 9.59, P = 0.003), as well as Charlson index of comorbidity ≥2 (OR 3.4, P < 0.001), Australian-born (OR 2.09, P = 0.002) and admission during October-December (OR 3.81, P < 0.001) were independently associated with increased use of ARPs. Acute resuscitation plan use was associated with older age, higher comorbidity, birth in Australia and admission later in the year.
DOI: 10.1111/ajag.12633
ORCID: 0000-0002-5331-974X
Journal: Australasian journal on ageing
PubMed URL: 30793458
Type: Journal Article
Subjects: clinical decision-making
health services patient care planning
resuscitation orders
Appears in Collections:Journal articles

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