{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:09:43Z","timestamp":1778864983639,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Some patients in the post-acute recovery phase have poor prognosis and may benefit from a palliative care approach. However, little is known about potential gaps regarding palliative care needs in this population.\n                    <jats:bold>Methods:<\/jats:bold>\n                    This is a retrospective cohort of patients transferred from an acute hospital to a post-acute care unit with the aim of rehabilitation. The aim was to analyze factors associated with the implementation of a do-not-resuscitate (DNR) order during hospitalization, as a surrogate of clinical decline and palliative care needs. Multivariate analysis was performed to control for confounders.\n                    <jats:bold>Results:<\/jats:bold>\n                    There were 1143 individuals included in the study, of which 415 (36.3%) had a DNR order instituted during hospitalization. After adjusting for confounders, the following variables were positively associated with DNR implementation: age (OR = 1.06, 95% IC: 1.04-1.07,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001); use of a tracheostomy (OR = 1.65, 95% IC: 1.08-2.51,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.019) and feeding tube (OR = 1.97, 95% IC: 1.37-2.82,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) at admission. Functional improvement, as measured by a positive variation in the functional independence measure (FIM) scale was negatively associated with DNR implementation (OR = 0.94, 95% IC: 0.93-0.95,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    This study contributes to understanding the frequency and factors associated with the need for palliative care in patients admitted for rehabilitation in a post-acute care unit. The identification of factors associated with DNR implementation in post-acute care may improve clinicians\u2019 decision-making when transitioning those patients from acute hospitals.\n                  <\/jats:p>","DOI":"10.1177\/10499091251356593","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T04:58:40Z","timestamp":1751345920000},"page":"768-774","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Frequency and Factors Associated With the Implementation of a Do-Not Resuscitate Order in Patients Admitted for Rehabilitation in a Post-Acute Care Unit: A Retrospective Cohort Study"],"prefix":"10.1177","volume":"43","author":[{"given":"Isabela Maria","family":"Alves de Almeida Oliva","sequence":"first","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina e Sa\u00fade, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, Bahia, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2201-9872","authenticated-orcid":false,"given":"Jo\u00e3o Gabriel Rosa","family":"Ramos","sequence":"additional","affiliation":[{"name":"Clinica Florence"},{"name":"Federal University of Bahia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8197-1480","authenticated-orcid":false,"given":"Alef Santiago","family":"Rezende","sequence":"additional","affiliation":[{"name":"Clinica Florence"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flaviane Ribeiro","family":"de Souza","sequence":"additional","affiliation":[{"name":"Clinica Florence"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4673-8698","authenticated-orcid":false,"given":"Bruno Prata","family":"Martinez","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Medicina e Sa\u00fade, Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, Bahia, Brazil"},{"name":"University of Bahia State"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,1]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.18.2387"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2104669"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.7889"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16106"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202011-1412OC"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-023-04770-6"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17687"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.06.003"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.4451"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2025.03.009"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909117691280"},{"key":"e_1_3_5_13_2","doi-asserted-by":"crossref","first-page":"e20240015en","DOI":"10.62675\/2965-2774.20240015-en","article-title":"Clinical trajectories of critically ill patients discharged directly from a critical unit to a postacute care facility: retrospective cohort","volume":"36","author":"Ramos JGR","year":"2024","unstructured":"Ramos JGR, de Souza Neto MJ, Rezende AS, et al. 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