DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms
In the strictest sense, do-not-resuscitate (DNR) status means that cardiopulmonary resuscitation should not be performed after death has occurred; all other medical interventions in line with a patient’s goals of care should be implemented. The use of transthoracic echocardiography (TTE) in patients...
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doaj-1b045551584c4c8298041a8d6da206d72021-09-26T00:27:42ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-09-01811211210.3390/jcdd8090112DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic EchocardiogramsAdarsh Katamreddy0Aaron J. Wengrofsky1Weijia Li2Cynthia C. Taub3Internal Medicine, Jacobi Medical Center, Bronx, NY 10461, USAInternal Medicine, Montefiore Medical Center, Bronx, NY 10467, USAInternal Medicine, Jacobi Medical Center, Bronx, NY 10461, USACardiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USAIn the strictest sense, do-not-resuscitate (DNR) status means that cardiopulmonary resuscitation should not be performed after death has occurred; all other medical interventions in line with a patient’s goals of care should be implemented. The use of transthoracic echocardiography (TTE) in patients with DNR status is unknown. Therefore, we aim to evaluate the utilization of TTE among patients with DNR status using this retrospective data analysis. A total of 16,546 patient admissions were included in the final study. A total of 4370 (26.4%) of the patients had a TTE during hospitalization; among full code patients, 3976 (25.7%) underwent TTE, whereas TTEs were performed in 394 (37.4%) of DNR patients. On univariate logistic regression analysis, full code status had OR (95% confidence interval, CI) 0.57 (0.51–0.66), <i>p</i> < 0.01 compared with DNR status for the performance of inpatient TTE. In the final multivariate model adjusted for age, sex, race, and clinical comorbidities, the full code patients had OR (95% CI) 0.91 (0.79–1.05), <i>p</i> = 0.22 compared with DNR patients for the performance of inpatient TTE. DNR status is not associated with a decrease in inpatient transthoracic echocardiography performance.https://www.mdpi.com/2308-3425/8/9/112do not resuscitatetransthoracic echocardiogramcode status |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adarsh Katamreddy Aaron J. Wengrofsky Weijia Li Cynthia C. Taub |
spellingShingle |
Adarsh Katamreddy Aaron J. Wengrofsky Weijia Li Cynthia C. Taub DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms Journal of Cardiovascular Development and Disease do not resuscitate transthoracic echocardiogram code status |
author_facet |
Adarsh Katamreddy Aaron J. Wengrofsky Weijia Li Cynthia C. Taub |
author_sort |
Adarsh Katamreddy |
title |
DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms |
title_short |
DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms |
title_full |
DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms |
title_fullStr |
DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms |
title_full_unstemmed |
DNR Code Status Is Not Associated with Under-Utilization of Inpatient Transthoracic Echocardiograms |
title_sort |
dnr code status is not associated with under-utilization of inpatient transthoracic echocardiograms |
publisher |
MDPI AG |
series |
Journal of Cardiovascular Development and Disease |
issn |
2308-3425 |
publishDate |
2021-09-01 |
description |
In the strictest sense, do-not-resuscitate (DNR) status means that cardiopulmonary resuscitation should not be performed after death has occurred; all other medical interventions in line with a patient’s goals of care should be implemented. The use of transthoracic echocardiography (TTE) in patients with DNR status is unknown. Therefore, we aim to evaluate the utilization of TTE among patients with DNR status using this retrospective data analysis. A total of 16,546 patient admissions were included in the final study. A total of 4370 (26.4%) of the patients had a TTE during hospitalization; among full code patients, 3976 (25.7%) underwent TTE, whereas TTEs were performed in 394 (37.4%) of DNR patients. On univariate logistic regression analysis, full code status had OR (95% confidence interval, CI) 0.57 (0.51–0.66), <i>p</i> < 0.01 compared with DNR status for the performance of inpatient TTE. In the final multivariate model adjusted for age, sex, race, and clinical comorbidities, the full code patients had OR (95% CI) 0.91 (0.79–1.05), <i>p</i> = 0.22 compared with DNR patients for the performance of inpatient TTE. DNR status is not associated with a decrease in inpatient transthoracic echocardiography performance. |
topic |
do not resuscitate transthoracic echocardiogram code status |
url |
https://www.mdpi.com/2308-3425/8/9/112 |
work_keys_str_mv |
AT adarshkatamreddy dnrcodestatusisnotassociatedwithunderutilizationofinpatienttransthoracicechocardiograms AT aaronjwengrofsky dnrcodestatusisnotassociatedwithunderutilizationofinpatienttransthoracicechocardiograms AT weijiali dnrcodestatusisnotassociatedwithunderutilizationofinpatienttransthoracicechocardiograms AT cynthiactaub dnrcodestatusisnotassociatedwithunderutilizationofinpatienttransthoracicechocardiograms |
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