TY - JOUR
T1 - Cost-Savings of Do Not Resuscitate Orders Among Elderly Patients With Heart Failure in the United States
AU - Callahan, Katherine
AU - Van Scoy, Lauren J.
AU - Kitko, Lisa
AU - Acharya, Yubraj
AU - Hardy, Melissa A.
AU - Hollenbeak, Christopher S.
N1 - Publisher Copyright:
© 2023 the American College of Medical Quality.
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Do-not-resuscitate (DNR) orders should preclude the use of cardiopulmonary resuscitation and may be associated with patient outcomes for patients hospitalized with heart failure (HF). This study examined the association between DNR and costs, mortality, and length of stay. The study cohort was a national sample of 700 922 hospital admissions of patients aged >65 with a primary diagnosis of HF. Elderly HF patients who died with a DNR had cost-savings of $5640 (P < 0.001). Patients with a DNR order were 8.9% points more likely to die before discharge than patients without (P < 0.001), and patients who died with a DNR had a significantly shorter hospital stay by 1.51 days (P < 0.001). DNR orders among elderly patients with HF are associated with cost-savings, as well as a higher mortality and shorter length of stay. In addition to primary benefits, advance care planning may aid in containing costs of care at end of life for HF.
AB - Do-not-resuscitate (DNR) orders should preclude the use of cardiopulmonary resuscitation and may be associated with patient outcomes for patients hospitalized with heart failure (HF). This study examined the association between DNR and costs, mortality, and length of stay. The study cohort was a national sample of 700 922 hospital admissions of patients aged >65 with a primary diagnosis of HF. Elderly HF patients who died with a DNR had cost-savings of $5640 (P < 0.001). Patients with a DNR order were 8.9% points more likely to die before discharge than patients without (P < 0.001), and patients who died with a DNR had a significantly shorter hospital stay by 1.51 days (P < 0.001). DNR orders among elderly patients with HF are associated with cost-savings, as well as a higher mortality and shorter length of stay. In addition to primary benefits, advance care planning may aid in containing costs of care at end of life for HF.
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U2 - 10.1097/JMQ.0000000000000121
DO - 10.1097/JMQ.0000000000000121
M3 - Article
C2 - 37021786
AN - SCOPUS:85159245708
SN - 1062-8606
VL - 38
SP - 137
EP - 146
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 3
ER -