Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards

Tjeerd van der Veer*, Simone van der Sar-van der Brugge, Marthe S. Paats, Els van Nood, Ingrid C. de Backer, Joachim G.J.V. Aerts, Menno M. van der Eerden

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Mortality from COVID-19 has been particularly high in elderly patients on mechanical ventilation. Treatment outcomes for patients with do-not-intubate (DNI) status are unknown. One hundred patients admitted to the non-ICU ward during the “first wave” were retrospectively analyzed. Mortality rate was 49% in patients with a DNI order. This subgroup was characterized by significantly higher age, more comorbidity, and care dependency. Mortality among DNI patients was three times higher than other patients, but not higher than some of the published mortality rates for elderly mechanically ventilated patients. Advanced care planning is essential in COVID-19 to assist patient autonomy and prevent non-beneficial medical interventions.

Original languageEnglish
Pages (from-to)2207-2209
Number of pages3
JournalEuropean Journal of Clinical Microbiology and Infectious Diseases
Volume40
Issue number10
Early online date12 Mar 2021
DOIs
Publication statusPublished - Oct 2021

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