Aabakken L, Sandstad O, Enger E
Medisinsk klinikk Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1992 May 20;112(13):1693-5.
Do-not-resuscitate orders issued in a medical department were studied by retrospective evaluation of 195 consecutive deaths in the department in 1991. No attempt at resuscitation was recorded in 171 patients. In these cases, do-not-resuscitate orders were documented in 67 only. For more than half of the orders, no reason was given in the medical record, and partial orders not to resuscitate were found in five patients only, none of whom were resuscitated. No difference was found in use of do-not-resuscitate orders between intensive-care units and regular wards, between patients above and patients below 80 years of age, or between patients with and patients without cancer. We suggest extended use of do-not-resuscitate orders in our department, and better documentation of the orders. Written guidelines have been established for this purpose.
通过对该科室1991年连续195例死亡病例进行回顾性评估，研究了在该科室下达的“不要复苏”医嘱。171例患者未记录有复苏尝试。在这些病例中，仅67例记录有“不要复苏”医嘱。对于超过半数的医嘱，病历中未给出理由，仅在5例患者中发现了部分“不要复苏”医嘱，且这些患者均未接受复苏。在重症监护病房和普通病房之间、80岁及以上患者和80岁以下患者之间、患有癌症的患者和未患癌症的患者之间，“不要复苏”医嘱的使用情况未发现差异。我们建议在本部门扩大“不要复苏”医嘱的使用，并更好地记录这些医嘱。为此已制定书面指南。
