Prevalence and related factors of do-not-resuscitate directives among nursing home residents in Taiwan

Journal of the American Medical Directors Association
Yu-Tai LoChun-Nien Wang

Abstract

To report the prevalence of Do-Not-Resuscitate (DNR) directives and to explore the factors associated with the presence of DNR directives among nursing home residents in Taiwan. A cross-sectional, correlation study. Seven nursing homes in southern Taiwan. Nursing home residents and their family surrogates. Data were collected using chart abstraction and a questionnaire survey. We used multivariate logistic regression to analyze the associations between resident, family surrogate, and facility characteristics and the presence of DNR directives. Among the 201 nursing home residents, 33 (16.4%) had DNR directives and 91% of the directives had been put in place by family surrogates. Our data revealed that resident's age (OR = 1.06, 95% CI = 1.01-1.12), cognitive function score (OR = 0.91, 95% CI = 0.85-0.97), prior DNR discussion between physician and family surrogate (OR = 4.09, 95% CI = 1.53-10.96), and nursing home with DNR policy (OR = 17.71, 95% CI = 5.87-53.46) were independently and associated with the presence of a DNR directive. The prevalence of DNR directives among Taiwanese nursing home residents was lower than that in other countries. Our results point out the lack of DNR policy in most Taiwanese nursing homes and high...Continue Reading

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Citations

Mar 25, 2011·Irish Journal of Medical Science·D LyonsM Philpot
Mar 15, 2014·The Journal of Nutrition, Health & Aging·L de DeckerO Beauchet
Aug 9, 2011·Archives of Gerontology and Geriatrics·Liang-Yu ChenFu-Der Wang
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Jul 7, 2017·Clinical Gerontologist·Huei-Chuan SungChia-Ying Lin
Aug 8, 2020·Japanese Journal of Clinical Oncology·Shao-Yi ChengRaymond Ng
Jan 29, 2021·International Journal of Environmental Research and Public Health·Julia Chia-Yu ChangDavid Hung-Tsang Yen
Feb 22, 2021·International Journal of Nursing Studies·Flora Xuhua HeAmanda Johnson
Jul 10, 2019·Journal of the American Medical Directors Association·Jing LiaoJing Mao
Sep 17, 2021·Health & Social Care in the Community·Jinfeng DingClaire E Johnson

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