The odds of California patients having a do-not-resuscitate order written within 24 hours of admission to a hospital depends on the facility's size, location and "technological bent," according to a study in the current issue of the Archives of Internal Medicine. In a review of records for 819,686 patients age 50 and older at 386 hospitals in 2000, University of California at Los Angeles Assistant Professor of Medicine David Zingmond found that DNR orders were less likely to be written for patients at for-profit or academic hospitals and that patients in rural areas used DNR orders at the highest rates. One explanation for low DNR use at large, academic medical centers is that people go there specifically for the life-saving procedures these institutions offer, Zingmond said. Read the study abstract. -- by Andis Robeznieks
DNR use depends on hospital characteristics
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