Association between Do Not Resuscitate/Do Not Intubate Status and Resident Physician Decision-making. A National Survey.

ABSTRACT:

Rationale

Compared with their Full Code counterparts, patients with do not resuscitate/do not intubate (DNR/DNI) status receive fewer interventions and have higher mortality than predicted by clinical characteristics.

Objectives

To assess whether internal medicine residents, the front-line providers for many hospitalized patients, would manage hypothetical patients differently based on code status. We hypothesized respondents would be less likely to provide a variety of interventions to DNR/DNI patients than to Full Code patients.

Methods

Cross-sectional, randomized survey of U.S. internal medicine residents. We created two versions of an internet survey, each containing four clinical vignettes followed by questions regarding possible interventions; the versions were

SUBMITTER: Stevenson EK 

PROVIDER: S-EPMC5427717 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature