title: Associations with resuscitation choice: Do not resuscitate, full code or undecided.
abstract: OBJECTIVE
  To examine associations of individual exposure and knowledge of resuscitation mechanics and prognosis with specific decision: Do Not Resuscitate (DNR), Full Code (FC) or Undecided (UD).
  
  
  METHODS
  Cross-sectional questionnaire at 3 sites: geriatric assessment center, internal medicine resident clinic, and inpatient palliative care service.
  
  
  RESULTS
  407 completed the questionnaire: 27% identified as DNR, 24% as FC and 49% as UD. Few (11.8%) respondents reported discussion of DNR status with their primary care doctor. DNR choice was associated with knowledge of DNR mechanics, OR=2.30 (95%CI: 1.23-4.30), physician discussion, OR=5.58 (95%CI: 2.39-13.04) and confidence in understanding own health problems, OR=2.89 (95%CI: 1.04-8.04). FC choice was associated with knowledge of FC mechanics, OR=2.01 (95%CI: 1.03-3.93) and media code exposure, OR=3.80 (95%CI: 1.46-9.92). Knowledge of resuscitation prognosis was negatively associated with FC, OR =0.48 (95%CI: 0.23-0.98).
  
  
  CONCLUSIONS
  Many individuals lack knowledge or understanding of resuscitation procedure, its risks, and prognosis. Educational efforts, for both patients and healthcare professionals, are needed to improve individual knowledge needed for informed decision.
  
  
  CONCLUSIONS
  Scheduled time for physician-patient discussion remains important for education about individual health conditions and risk/benefits related to resuscitation.
authors.affiliation: Department of Internal Medicine, Riverside Methodist Hospital, United States. Electronic address: kim.jordan@ohiohealth.com.
authors.forename: Kim
authors.initials: K
authors.lastname: Jordan
authors.affiliation: OhioHealth Research Institute, United States.
authors.forename: John O
authors.initials: JO
authors.lastname: Elliott
authors.affiliation: Section of Hematology and Oncology, The Ohio State University, United States.
authors.forename: Sarah
authors.initials: S
authors.lastname: Wall
authors.affiliation: Section of Hematology and Oncology, University of Mississippi, United States.
authors.forename: Emily
authors.initials: E
authors.lastname: Saul
authors.affiliation: Central Ohio Primary Care Physicians, United States.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Sheth
authors.affiliation: Department of Internal Medicine, Riverside Methodist Hospital, United States.
authors.forename: Julie
authors.initials: J
authors.lastname: Coffman
mesh_terms: D016223:Advance Directives; D000368:Aged; D000369:Aged, 80 and over; D002755:Choice Behavior; D003142:Communication; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D015577:Geriatric Assessment; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007297:Inpatients; D007396:Internship and Residency; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010166:Palliative Care; D010817:Physician-Patient Relations; D010820:Physicians; D011379:Prognosis; D016414:Resuscitation Orders; D011795:Surveys and Questionnaires; D013727:Terminal Care
keywords: Code decision; DNR; End-of-life; Knowledge; Media; Resuscitation