Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards

Mortality from COVID-19 has been particularly high in elderly patients on mechanical ventilation. Treatment outcomes for patients with do-not-intubate (DNI) status are unknown. One hundred patients admitted to the non-ICU ward during the “first wave” were retrospectively analyzed. Mortality rate was...

Descripción completa

Detalles Bibliográficos
Autores principales: van der Veer, Tjeerd, van der Sar-van der Brugge, Simone, Paats, Marthe S., van Nood, Els, de Backer, Ingrid C., Aerts, Joachim G. J. V., van der Eerden, Menno M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7954520/
https://www.ncbi.nlm.nih.gov/pubmed/33713005
http://dx.doi.org/10.1007/s10096-021-04223-4
_version_ 1783664097651326976
author van der Veer, Tjeerd
van der Sar-van der Brugge, Simone
Paats, Marthe S.
van Nood, Els
de Backer, Ingrid C.
Aerts, Joachim G. J. V.
van der Eerden, Menno M.
author_facet van der Veer, Tjeerd
van der Sar-van der Brugge, Simone
Paats, Marthe S.
van Nood, Els
de Backer, Ingrid C.
Aerts, Joachim G. J. V.
van der Eerden, Menno M.
author_sort van der Veer, Tjeerd
collection PubMed
description Mortality from COVID-19 has been particularly high in elderly patients on mechanical ventilation. Treatment outcomes for patients with do-not-intubate (DNI) status are unknown. One hundred patients admitted to the non-ICU ward during the “first wave” were retrospectively analyzed. Mortality rate was 49% in patients with a DNI order. This subgroup was characterized by significantly higher age, more comorbidity, and care dependency. Mortality among DNI patients was three times higher than other patients, but not higher than some of the published mortality rates for elderly mechanically ventilated patients. Advanced care planning is essential in COVID-19 to assist patient autonomy and prevent non-beneficial medical interventions.
format Online
Article
Text
id pubmed-7954520
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-79545202021-03-15 Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards van der Veer, Tjeerd van der Sar-van der Brugge, Simone Paats, Marthe S. van Nood, Els de Backer, Ingrid C. Aerts, Joachim G. J. V. van der Eerden, Menno M. Eur J Clin Microbiol Infect Dis Brief Report Mortality from COVID-19 has been particularly high in elderly patients on mechanical ventilation. Treatment outcomes for patients with do-not-intubate (DNI) status are unknown. One hundred patients admitted to the non-ICU ward during the “first wave” were retrospectively analyzed. Mortality rate was 49% in patients with a DNI order. This subgroup was characterized by significantly higher age, more comorbidity, and care dependency. Mortality among DNI patients was three times higher than other patients, but not higher than some of the published mortality rates for elderly mechanically ventilated patients. Advanced care planning is essential in COVID-19 to assist patient autonomy and prevent non-beneficial medical interventions. Springer Berlin Heidelberg 2021-03-12 2021 /pmc/articles/PMC7954520/ /pubmed/33713005 http://dx.doi.org/10.1007/s10096-021-04223-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Brief Report
van der Veer, Tjeerd
van der Sar-van der Brugge, Simone
Paats, Marthe S.
van Nood, Els
de Backer, Ingrid C.
Aerts, Joachim G. J. V.
van der Eerden, Menno M.
Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards
title Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards
title_full Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards
title_fullStr Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards
title_full_unstemmed Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards
title_short Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards
title_sort do-not-intubate status and covid-19 mortality in patients admitted to dutch non-icu wards
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7954520/
https://www.ncbi.nlm.nih.gov/pubmed/33713005
http://dx.doi.org/10.1007/s10096-021-04223-4
work_keys_str_mv AT vanderveertjeerd donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards
AT vandersarvanderbruggesimone donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards
AT paatsmarthes donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards
AT vannoodels donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards
AT debackeringridc donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards
AT aertsjoachimgjv donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards
AT vandereerdenmennom donotintubatestatusandcovid19mortalityinpatientsadmittedtodutchnonicuwards

Ejemplares similares