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

doi:10.1007/s10096-021-04223-4

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

Amphia Hospital

Research output: Contribution to journal › Article › Academic › peer-review

11 Citations (Scopus)

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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 language	English
Pages (from-to)	2207-2209
Number of pages	3
Journal	European Journal of Clinical Microbiology and Infectious Diseases
Volume	40
Issue number	10
Early online date	12 Mar 2021
DOIs	https://doi.org/10.1007/s10096-021-04223-4
Publication status	Published - Oct 2021

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Publisher Copyright:
© 2021, The Author(s).

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Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wardsFinal published version, 171 KBLicence: CC BY

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

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.",

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doi = "10.1007/s10096-021-04223-4",

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T1 - Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards

AU - van der Veer, Tjeerd

AU - van der Sar-van der Brugge, Simone

AU - Paats, Marthe S.

AU - van Nood, Els

AU - de Backer, Ingrid C.

AU - Aerts, Joachim G.J.V.

AU - van der Eerden, Menno M.

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AB - 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.

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JO - European Journal of Clinical Microbiology and Infectious Diseases

JF - European Journal of Clinical Microbiology and Infectious Diseases

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

Abstract

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