Association of Do-Not-Resuscitate Orders and Hospital Mortality Rate Among Patients With Pneumonia.

ABSTRACT:

Importance

Hospital quality measures that do not account for patient do-not-resuscitate (DNR) status may penalize hospitals admitting a greater proportion of patients with limits on life-sustaining treatments.

Objective

To evaluate the effect of analytic approaches accounting for DNR status on risk-adjusted hospital mortality rates and performance rankings.

Design, setting, and participants

A retrospective, population-based cohort study was conducted among adults hospitalized with pneumonia in 303 California hospitals between January 1 and December 31, 2011. We used hierarchical logistic regression to determine associations between patient DNR status, hospital-level DNR rates, and mortality measures. Changes in hospital risk-adjusted mortality rates after accounting f

SUBMITTER: Walkey AJ 

PROVIDER: S-EPMC6684128 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature