000000939 001__ 939
000000939 005__ 20251205111052.0
000000939 0247_ $$2DOI$$a10.6083/M48S4MX9
000000939 037__ $$aETD
000000939 245__ $$aConcordance of prehospital and emergency department cardiac resuscitation with documented end-of-life choices in Oregon
000000939 260__ $$bOregon Health and Science University
000000939 269__ $$a2013
000000939 336__ $$aThesis
000000939 502__ $$bM.P.H.
000000939 520__ $$aThis study assessed the alignment of prehospital and emergency department (ED) care with documented end-of-life preferences for patients experiencing out-of-hospital cardiac arrest (OHCA) in Oregon. Using a retrospective cohort design, we analyzed 1,577 OHCA cases from five counties in 2010, linking them to the statewide Physician Orders for Life-Sustaining Treatment (POLST) registry. Logistic regression identified factors associated with having a POLST form. Among 82 patients with POLST documentation, those with do-not-resuscitate (DNR) orders received significantly fewer interventions compared to those with resuscitation orders, including field resuscitation (22% vs. 84%), ED transport (12% vs. 63%), and hospital admission (6% vs. 38%). Older age, non-white race, and non-private residence were associated with POLST presence. Findings indicate that emergency care generally honors documented end-of-life preferences, supporting the effectiveness of statewide POLST programs in guiding care during critical illness.
000000939 540__ $$fCC BY
000000939 542__ $$fIn copyright - single owner
000000939 650__ $$aResuscitation$$025379
000000939 650__ $$aAdvance Directives$$028977
000000939 650__ $$aEmergency Medical Services$$018348
000000939 650__ $$aEthics$$018684
000000939 650__ $$aCritical Illness$$029279
000000939 650__ $$aOut-of-Hospital Cardiac Arrest$$039322
000000939 650__ $$aRetrospective Studies$$025415
000000939 650__ $$aResuscitation Orders$$029134
000000939 650__ $$aAdvance Directives$$028977
000000939 651__ $$aOregon$$041094
000000939 6531_ $$acardiac resuscitation
000000939 691__ $$aSchool of Medicine$$041369
000000939 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000939 7001_ $$aRichardson, Derek$$uOregon Health and Science University$$041354
000000939 8564_ $$987e62345-d924-4c98-a216-a0d786654e55$$s220637$$uhttps://digitalcollections.ohsu.edu/record/939/files/942_etd.pdf$$ePublic$$26dbf50032f9b6962af2e78d46f79b257$$31
000000939 905__ $$a/rest/prod/pk/02/c9/73/pk02c973d
000000939 909CO $$ooai:digitalcollections.ohsu.edu:939$$pstudent-work
000000939 980__ $$aTheses and Dissertations