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Resuscitation planning on a subacute geriatric evaluation and management ward.
Australasian Journal on Ageing 2019 Februrary 23
OBJECTIVES: 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.
METHODS: The hospital records of all patients admitted to the geriatric medicine ward in 2016 were retrospectively audited.
RESULTS: 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.
CONCLUSIONS: Acute resuscitation plan use was associated with older age, higher comorbidity, birth in Australia and admission later in the year.
METHODS: The hospital records of all patients admitted to the geriatric medicine ward in 2016 were retrospectively audited.
RESULTS: 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.
CONCLUSIONS: Acute resuscitation plan use was associated with older age, higher comorbidity, birth in Australia and admission later in the year.
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