In Reply. —
Green brings to this discussion the needed perspective of those who often actually perform cardiopulmonary resuscitation, the house staff. He may be correct in pointing out that do-not-resuscitate (DNR) orders may adversely affect the patient's subsequent care, although the published studies1,2 on this issue are not all in agreement. Regrettably, there is a paucity of data as to the quality of life after resuscitation of patients who will ultimately die before ever leaving the hospital. While it seems that many live their remaining days in intensive care units as Green indicates, firm data on this issue are not available. Similarly, although von Gunten is likely correct in presuming that patients with DNR orders are more severely ill and thus would be even less likely to survive resuscitation, convincing data are not available on this point.The hospital of Tankoos is not alone in revising its DNR
Faber-Langendoen K. Goals of Medicine-Reply. Arch Intern Med. 1992;152(7):1530–1532. doi:10.1001/archinte.1992.00400190146033
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