| Literature DB >> 33713005 |
Tjeerd van der Veer1, Simone van der Sar-van der Brugge2, Marthe S Paats3, Els van Nood4,5, Ingrid C de Backer2, Joachim G J V Aerts3, Menno M van der Eerden3.
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.Entities:
Keywords: Advance care planning; COVID-19; Elderly medicine; Mechanical ventilation; Respiratory intensive care; Viral respiratory infection
Mesh:
Year: 2021 PMID: 33713005 PMCID: PMC7954520 DOI: 10.1007/s10096-021-04223-4
Source DB: PubMed Journal: Eur J Clin Microbiol Infect Dis ISSN: 0934-9723 Impact factor: 3.267