Table 3.
Distribution of Interventions after Do-Not-Resuscitate Order (n = 200)
| Intervention | Added n (% total) | Continued n (% total) | Discontinued n (% total) | Not applicablea n (% total) | % Continuedb(exact 95% CI) |
|---|---|---|---|---|---|
| Antibiotics | 8 (4.0) | 96 (48.0) | 18 (9.0) | 78 (39.0) | 84.2 (76.2, 90.4) |
| Anticonvulsants | 4 (2.0) | 37 (18.0) | 2 (1.0) | 157 (78.5) | 94.9 (82.7, 99.4) |
| Antifungals | 7 (3.5) | 52 (26.0) | 9 (4.5) | 132 (66.0) | 85.3 (73.8, 93.0) |
| Antivirals | 2 (1.0) | 26 (13.0) | 5 (2.5) | 167 (83.5) | 83.9 (66.3, 94.6) |
| Blood products | 3 (1.5) | 74 (37.0) | 3 (1.5) | 120 (60.0) | 96.1 (89.0, 99.2) |
| Chemotherapy | 7 (3.5) | 13 (6.5) | 26 (13.0) | 154 (77.0) | 33.3 (19.1, 50.2) |
| Hemodialysis/CVVH | 2 (1.0) | 12 (6.0) | 3 (1.5) | 183 (91.5) | 80.0 (51.9, 95.7) |
| IV fluids | 10 (5.0) | 79 (39.5) | 7 (3.5) | 104 (52.0) | 91.9 (84.0, 96.7) |
| Lab draws | 0 (0.0) | 89 (44.5) | 27 (13.5) | 84 (42.0) | 76.7 (68.0, 84.1) |
| Mechanical ventilation | 0 (0.0) | 33 (16.5) | 9 (4.5) | 158 (79.0) | 78.6 (63.2, 89.7) |
| Oxygen | 26 (13.0) | 59 (29.5) | 8 (4.0) | 107 (53.5) | 88.1 (77.8, 94.7) |
| Pain medications | 13 (6.5) | 145 (72.5) | 1 (0.5) | 41 (20.5) | 99.3 (96.2, 100.0) |
| Parenteral nutrition | 9 (4.5) | 54 (27.0) | 14 (7.0) | 123 (61.5) | 79.4 (67.9, 88.3) |
| Radiation therapy | 4 (2.0) | 6 (3.0) | 3 (1.5) | 187 (93.5) | 66.7 (29.9, 92.5) |
| Steroids | 15 (7.5) | 80 (40.0) | 5 (2.5) | 100 (50.0) | 94.1 (86.8, 98.1) |
| Surgery | 5 (2.5) | 3 (1.5) | 1 (0.5) | 191 (95.5) | 75.0 (19.4, 99.4) |
| Vasopressors | 7 (3.5) | 24 (12.0) | 9 (4.5) | 160 (80.0) | 72.7 (54.5, 86.7) |
| Otherc | 27 (13.5) | 75 (37.5) | 5 (2.5) | 93 (46.5) | 93.8 (86.0, 97.9) |
a
Total N − (N Added + N Continued + N Discontinued), representing the number of patients who did not receive the specified intervention.
b
N continued/(N Continued + N Discontinued) × 100.
c
This category included medical interventions not prospectively defined but entered on the data extraction form at the discretion of the chart reviewer (e.g., antipsychotics).
CI, confidence interval; CVVH, continuous veno-venous hemofiltration; IV, intravenous.