东亚地区严重脓毒症和脓毒性休克患者不施行心肺复苏医嘱的高死亡率研究数据

数据集获取（Figshare）

• 源站标题：High Mortality in Severe Sepsis and Septic Shock Patients with Do-Not-Resuscitate Orders in East Asia
• DOI：10.1371/journal.pone.0159501
• 发布日期：2016-07-14
• 文件数：5 个
• 文件总体积：318.26 KB
• 源站页面：https://plos.figshare.com/articles/dataset/High_Mortality_in_Severe_Sepsis_and_Septic_Shock_Patients_with_Do-Not-Resuscitate_Orders_in_East_Asia/3896064

命令行下载

curl -L -o "S1 Dataset.XLSX" "https://ndownloader.figshare.com/files/6103530"
curl -L -o "S1 Fig.TIF" "https://ndownloader.figshare.com/files/6103536"
curl -L -o "S1 Table.DOCX" "https://ndownloader.figshare.com/files/6103572"
curl -L -o "S2 Table.DOCX" "https://ndownloader.figshare.com/files/6103581"
curl -L -o "S3 Table.DOCX" "https://ndownloader.figshare.com/files/6103602"

文件清单

• S1 Dataset.XLSX（61.19 KB）
• S1 Fig.TIF（203.75 KB）
• S1 Table.DOCX（20.03 KB）
• S2 Table.DOCX（17.25 KB）
• S3 Table.DOCX（16.04 KB）

文件总体积 318.26 KB（源站 API 实测）。

数据说明

Background
Severe sepsis is a potentially deadly illness and always requires intensive care. Do-not-resuscitate (DNR) orders remain a debated issue in critical care and limited data exist about its impact on care of septic patients, particularly in East Asia. We sought to assess outcome of severe sepsis patients with regard to DNR status in Taiwan.
Methods
A retrospective cohort study was conducted in intensive care units (ICUs) between 2008 and 2010. All severe sepsis patients were included for analysis. Primary outcome was association between DNR orders and ICU mortality. Volume of interventions was used as proxy indicator to indicate aggressiveness of care.
Results
Sixty-seven (9.4%) of 712 patients had DNR orders on ICU admission, and these patients were older and had higher disease severity compared with patients without DNR orders. Notably, DNR patients experienced high ICU mortality (90%). Multivariate analysis revealed that the presence of DNR orders was independently associated with ICU mortality (odds ratio: 6.13; 95% confidence interval: 2.66–14.10). In propensity score-matched cohort, ICU mortality rate (91%) in the DNR group was statistically higher than that (62%) in the non-DNR group (p Conclusions
From the Asian perspective, septic patients placed on DNR orders on ICU admission had exceptionally high mortality. In contrast to Western reports, DNR patients received more ICU interventions, reflecting more aggressive approach to dealing with this patient population. The findings in some ways reflect differences between East and West cultures and suggest that DNR status is an important confounder in ICU studies involving severely septic patients.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0159501（source: https://plos.figshare.com/articles/dataset/High_Mortality_in_Severe_Sepsis_and_Septic_Shock_Patients_with_Do-Not-Resuscitate_Orders_in_East_Asia/3896064）。