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Do-not-intubate status and COVID-19 mortality in patients admitted to Dutch non-ICU wards.
van der Veer, Tjeerd; van der Sar-van der Brugge, Simone; Paats, Marthe S; van Nood, Els; de Backer, Ingrid C; Aerts, Joachim G J V; van der Eerden, Menno M.
  • van der Veer T; Department of Pulmonary Medicine, Erasmus MC, Rotterdam, the Netherlands. t.vanderveer@erasmusmc.nl.
  • van der Sar-van der Brugge S; Department of Pulmonary Medicine, Amphia Hospital, Breda, the Netherlands.
  • Paats MS; Department of Pulmonary Medicine, Erasmus MC, Rotterdam, the Netherlands.
  • van Nood E; Department of Internal Medicine, Erasmus MC, Rotterdam, the Netherlands.
  • de Backer IC; Department of Medical Microbiology and Infectious Diseases, Erasmus MC, Rotterdam, the Netherlands.
  • Aerts JGJV; Department of Pulmonary Medicine, Amphia Hospital, Breda, the Netherlands.
  • van der Eerden MM; Department of Pulmonary Medicine, Erasmus MC, Rotterdam, the Netherlands.
Eur J Clin Microbiol Infect Dis ; 40(10): 2207-2209, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1130808
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Intensive Care Units Type of study: Observational study / Prognostic study Limits: Adult / Aged / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: Eur J Clin Microbiol Infect Dis Journal subject: Communicable Diseases / Microbiology Year: 2021 Document Type: Article Affiliation country: S10096-021-04223-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Intensive Care Units Type of study: Observational study / Prognostic study Limits: Adult / Aged / Humans / Male / Middle aged / Young adult Country/Region as subject: Europa Language: English Journal: Eur J Clin Microbiol Infect Dis Journal subject: Communicable Diseases / Microbiology Year: 2021 Document Type: Article Affiliation country: S10096-021-04223-4