Background: Understanding of the Do-Not-Resuscitate (DNR) order varies among different ethnic backgrounds. In Korea, the concept of DNR is not well-known. We therefore conducted a questionnaire-based study to explore and characterize ethnic differences (Korean vs. Non-Korean) in the understanding of DNR.   Methods: Subjects were recruited from the Englewood Hospital and Medical Center where is [...]

Background: Although code status discussion does not routinely happen at hospitals in Japan, many people reportedly start to think of their end of life issue and would like to express it, according to questionnaire survey conducted by the Ministry of Health, Labour and Welfare. There has been no report which focuses on prevalence of do-not-resuscitate [...]

Background: COVID-19  has claimed over 260,000 American lives (1), disproportionately affecting older adults (2). High mortality rates in older adults, along with the potential need for resource allocation, placed an even higher importance on the timely discussion and documentation of advance directives (3). The aim of our study was to determine the prevalence of early [...]

Background: Cardiopulmonary resuscitation (CPR) is part of the standard of care for the event of cardiac arrest during hospital admissions. The “do not resuscitate” (DNR) order documents that patients do not wish to pursue CPR in the event of cardiopulmonary arrest (CPA). The Ministry of Health has announced that 69.7% of middle-aged home residents in [...]

Background: Code status discussions often link do-not-intubate (DNI) orders with do-not-resuscitate (DNR) orders, although cardiac arrest accounts for less than 2% of endotracheal intubations. Furthermore, in-hospital cardiopulmonary resuscitation (CPR) is associated with worse outcomes than intubation. DNR orders are more commonly implemented for older patients with more comorbid conditions regardless of the reason for hospitalization, [...]

Background: Patients from diverse sociocultural backgrounds and with differing medical conditions may have varying levels of acceptance of advanced care planning which is a process in which patients of any age or health status document future care preferences. It can encompass do-not-resuscitate (DNR) orders, directives to withhold cardiopulmonary resuscitation in the event of cardiac arrest [...]

Background: Do-not-resuscitate (DNR) orders are intended to allow patients to forgo cardiopulmonary resuscitate (CPR) in the event of cardiac arrest. They are applied to cases of cardiac arrest, and they cannot be applied to any situation other than cardiac arrest. However, prior studies have shown that the presence of DNR orders led to changes in treatment [...]

Background: A do-not resuscitate (DNR) order prohibits use of cardiopulmonary resuscitation (CPR) in the event of cardiopulmonary arrest. It should not be applied to any other interventions other than CPR. However, we reported that DNR status altered physicians’ decision making pertaining to use of non-CPR procedures in Japan (reported in ACP Japan chapter 2014, data [...]

Background: End of life discussion is very important for preventing undesired cardiopulmonary resuscitation (CPR). It is reportedly associated with less aggressive medical care near death and better quality of life. Its importance has been gradually recognized worldwide. However, the compliance of a Do-not-Resuscitate (DNR) order has not been well studied. We reported the incidence rate [...]