Table 2.
Responses on the DNACPR/TEAL form on the PICS EHR.
| Pre-COVID | Mar–Apr 2019 | During COVID | p Value‡ | ||
|---|---|---|---|---|---|
| Completion (total N) | 14,163 | 729 | 1844 | ||
| Doctor would be surprised if patient died on this admission | 2183 (15.4%) | 124 (17.0%) | 575 (31.2%) | <0.001 | |
| DNACPR is in place | 12,650 (89.3%) | 663 (90.9%) | 1406 (76.3%) | <0.001 | |
| Patient is for full active treatment | 3864 (27.3%) | 190 (26.1%) | 563 (30.5%) | 0.028 | |
| Reason not for full active treatment† | Patient’s wishes known | 2079 (20.2%) | 105(19.5%) | 242 (18.9%) | 0.107 |
| Futility | 9174 (89.1%) | 469(87.0%) | 1143 (89.2%) | 0.076 | |
| ADRT | 329 (3.2%) | 23(4.3%) | 22 (1.7%) | 0.711 | |
| Patient has capacity to be involveda | 5729 (44.6%) | 296 (43.9%) | 839 (58.5%) | <0.001 | |
| Decision was discussed with patientb | 5300 (92.5%) | 283 (95.6%) | 804 (95.8%) | 0.871 | |
| Decision was discussed with relativesc | 8520 (70.3%) | 480 (75.4%) | 648 (50.6%) | <0.001 | |
| Review date¹ | 7 days: 43.6% | 7 days: 42.4% | 7 days: 42.4% | 0.133 | |
| 28 days: 20.2% | 28 days: 19.7% | 28 days: 23.1% | |||
| Indefinite: 36.4% | Indefinite: 37.9% | Indefinite: 34.4% | |||
a
This is only completed when the patient is either not for full active treatment or not for active CPR (n = 15,826).
b
This question is only answered when it is confirmed that the patient has the mental capacity to be involved in decisions (n = 6568).
c
This is only completed when the patient has either given consent for their conditions to be discussed with relatives or does not have the mental capacity to be involved in decisions (n = 13,405).
†
Only for those who are not for full active treatment and multiple options can be chosen per patient.
‡
This P value compares the COVID period to those forms completed in March and April 2019.