DNR order analysis study
Research type
Research Study
Full title
Are do-not-resuscitate orders associated with limitations of care beyond their intended purpose in patients with acute intracerebral haemorrhage? Analysis of a single centre quality improvement registry
IRAS ID
272003
Contact name
Adrian Parry-Jones
Contact email
Sponsor organisation
University of Manchester
Clinicaltrials.gov Identifier
not applicable, not applicable
Duration of Study in the UK
0 years, 11 months, 31 days
Research summary
Why? Do Not Resuscitate (DNR), is a legal order written by a doctor and indicates that a person does not want to receive cardiopulmonary resuscitation (CPR) if their heart stops beating.
This project wishes to determine the reasons for use of early do-not-resuscitate (DNR) orders (within 24 hours of admission to hospital) in patients with intracerebral haemorrhage (ICH) and aims to assess if their use limits the care that is given.
What? Intracerebral haemorrhage (ICH) is a type of stroke caused by bleeding into brain tissue. It accounts for 1 in 5 strokes and carries a high risk of death and disability. Doctors will consider a number of factors that may influence recovery and if necessary, will discuss DNR order with the family. We wish to explore the reasons for using DNR orders assess if they limit the care that is given. We will assess if the use of DNR goes beyond their intending use and influence decisions around treatment, supportive care and management of complications.
Who/Where? The project, conducted by members of the existing care team will analyse existing data collected as part of a previous quality improvement project. The dataset includes clinical information about the care and treatment of approximately 1000 patients admitted to Salford Royal between 1/6/13 and 31/5/17 with ICH. Additional clinical information will be obtained from medical records.
How? The project will take approximately 1 year to complete.REC name
London - Camden & Kings Cross Research Ethics Committee
REC reference
19/LO/1842
Date of REC Opinion
13 Nov 2019
REC opinion
Favourable Opinion