What is DNAR and when is it appropriate?
DNAR means CPR will not be attempted if the heart or breathing stops. It does not mean that other treatment stops. Decisions should be individualized and aligned with prognosis and patient wishes.
Clinical Knowledge Hub
Sharing clinical insights, research, and practical tools in DNAR, CPR, frailty, and end-of-life care by Dr Sakthiswaran Rajasekar, UCSI Hospital, Port Dickson.
View DNAR Prognosis Pathway Read the BlogAbout
Dr Sakthiswaran Rajasekar is a healthcare professional based in Port Dickson, Negeri Sembilan, Malaysia, currently working at UCSI Hospital, Port Dickson.
Areas of interest:
- DNAR / DNACPR decision-making
- Clinical frailty and prognosis
- End-of-life care and CPR outcomes
- Clinical research and knowledge sharing
DNAR Prognosis Pathway
Pilot bedside aid for DNAR discussions. The tool uses age, ADL, frailty, comorbidity, malignancy, oxygen need, organ involvement, and shock to estimate the likelihood of meaningful survival after CPR.
Pilot version by Dr Sakthiswaran Rajasekar. Not yet validated with local data.
Open the DNAR ToolThe tool opens as a separate subpage so the main site stays on the home page.
Blog
Articles and updates on DNAR, CPR, frailty, and research.
Clinical Frailty Scale and CPR outcomes
Frailty is a strong predictor of CPR outcome. As frailty increases, the chance of meaningful recovery after resuscitation falls sharply.
Pilot DNAR Prognosis Pathway
This pilot pathway is being shared as a knowledge tool. It is not yet validated with local data and should be used with clinical judgment.