Do-not-resuscitate orders and readmission among elderly patients with heart failure in Pennsylvania: An observational study, 2011 - 2014

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Abstract

Background: Readmissions for patients with heart failure (HF) continues to be a target of value-based purchasing initiatives. Do-not-resuscitate (DNR) orders—one part of advance care planning (ACP)—have been shown to be related to other patient outcomes but has not been explored as a risk factor for HF readmission. Objectives: Examine the association between DNR and 30-day readmissions among elderly patients with HF admitted to hospitals in Pennsylvania. Methods: Data included hospital discharges from 2011 to 2014 of patients 65+ years with a primary diagnosis of HF. Logistic regression was used to model the relationship between DNR and 30-day readmission. Results: Among 107,806 patients, 20.9% were readmitted within 30 days. After controlling for covariates, patients with HF who had a DNR were less likely to be readmitted to the hospital (OR=0.85, 95% CI: 0.80–0.91, p<0.001). Conclusions: Documentation of a DNR may inform efforts to reduce readmissions among elderly patients with HF.

Original languageEnglish (US)
Pages (from-to)812-816
Number of pages5
JournalHeart and Lung
Volume49
Issue number6
DOIs
StatePublished - Nov 1 2020

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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