Do-Not-Resuscitate status is an independent risk factor for patients undergoing surgery for hip fracture

AIM: To determine morbidity and mortality in hip fracture patients and also to assess for any independent associations between Do-Not-Resuscitate (DNR) status and increased post-operative morbidity and mortality in patients undergoing surgical repair of hip fractures. METHODS: We conducted a propensity score matched retrospective analysis using de-identified data from the American College of Surgeons' National Surgical Quality Improvement Project (ACS NSQIP) for all patients undergoing hip fracture surgery over a 7 year period in hospitals across the United States enrolled in the ACS NSQIP with and without DNR status. We measured patient demographics including DNR status, co-morbidities, frailty and functional baseline, surgical and anaesthetic procedure data, post-operative morbidity/complications, length of stay, discharge destination and mortality. RESULTS: = 0.004). Cardiopulmonary resuscitation and unplanned reintubation were significantly less likely in patients with DNR status. CONCLUSION: ceilings of care in keeping with a DNR status, including withholding reintubation and cardiopulmonary resuscitation.