Objective: The United Kingdom Department of Health advises hospitals that they should implement a policy relating to cardiopulmonary resuscitation (CPR) that takes account of published guidelines relating to decision making for resuscitation. We wished to see if these guidelines were leading to implementation of a similar policy in different Elderly Care (EC) departments.
Setting: The acute and rehabilitation wards in 13 hospitals from the South Thames West region.
Design: On one day the notes of all in-patients, over 55 years, under the care of an EC physician were reviewed.
Results: A CPR decision had been made in 465 (47%) of the 990 in-patients, 379 Do Not Attempt Resuscitation (DNAR) orders were made. The percentage of patients in whom a CPR decision had been made varied from 15 to 97% between departments.
Conclusions: Implementation of the guidelines for decision making for resuscitation varies greatly across this region of the United Kingdom.
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| http://dx.doi.org/10.1016/j.resuscitation.2004.05.017 | DOI Listing |
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