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Resuscitation planning on a subacute geriatric evaluation and management ward
Author(s) -
Strasser Rupert,
Smith Roger,
Yates Paul,
Reid David,
Katz Benny
Publication year - 2019
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12633
Subject(s) - medicine , resuscitation , comorbidity , cardiopulmonary resuscitation , emergency medicine , audit , charlson comorbidity index , medical emergency , management , economics
Objectives To describe the use of acute resuscitation plans ( ARP s) among patients on a subacute geriatric ward and to identify factors associated with use of ARP s in these patients. Methods The hospital records of all patients admitted to the geriatric medicine ward in 2016 were retrospectively audited. Results An ARP was completed before separation for 333/442 (75.3%) admissions. In the event of arrest, 240 (54.3%) patients had an ARP specifying “care of the dying”, 93 (21.0%) had an ARP specifying “cardiopulmonary resuscitation” and 109 (24.7%) had no resuscitation plan. Age 85‐94 years ( OR 1.65, P = 0.04) and ≥95 years ( OR 9.59, P = 0.003), as well as Charlson index of comorbidity ≥2 ( OR 3.4, P < 0.001), Australian‐born ( OR 2.09, P = 0.002) and admission during October‐December ( OR 3.81, P < 0.001) were independently associated with increased use of ARP s. Conclusions Acute resuscitation plan use was associated with older age, higher comorbidity, birth in Australia and admission later in the year.