• Aimee M Merino, Ryan Greiner, and Kristopher Hartwig.
• Department of Medicine, Internal Medicine Residency Program, University of Minnesota, Minneapolis, Minnesota, USA. merin008@umn.edu.
• J Hosp Med. 2017 Sep 1; 12 (9): 700-704.

BackgroundPatient preferences regarding cardiopulmonary resuscitation (CPR) are important, especially during hospitalization when a patient's health is changing. Yet many patients are not adequately informed or involved in the decision-making process.ObjectiveWe examined the effect of an informational video about CPR on hospitalized patients' code status choices.DesignThis was a prospective, randomized trial conducted at the Minneapolis Veterans Affairs Health Care System in Minnesota.ParticipantsWe enrolled 119 patients, hospitalized on the general medicine service, and at least 65 years old. The majority were men (97%) with a mean age of 75.InterventionA video described code status choices: full code (CPR and intubation if required), do not resuscitate (DNR), and do not resuscitate/do not intubate (DNR/DNI). Participants were randomized to watch the video (n = 59) or usual care (n = 60).MeasurementsThe primary outcome was participants' code status preferences. Secondary outcomes included a questionnaire designed to evaluate participants' trust in their healthcare team and knowledge and perceptions about CPR.ResultsParticipants who viewed the video were less likely to choose full code (37%) compared to participants in the usual care group (71%) and more likely to choose DNR/DNI (56% in the video group vs. 17% in the control group) (𝑃 < 0.00001). We did not see a difference in trust in their healthcare team or knowledge and perceptions about CPR as assessed by our questionnaire.ConclusionsHospitalized patients who watched a video about CPR and code status choices were less likely to choose full code and more likely to choose DNR/DNI.© 2017 Society of Hospital Medicine

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