Code status discussions at hospital admission are ... [Am J Hosp Palliat Care. 2011] - PubMed result

Am J Hosp Palliat Care. 2011 Mar;28(2):102-8. Epub 2010 Aug 16.
Code status discussions at hospital admission are not associated with patient and surrogate satisfaction with hospital care: results from the multicenter hospitalist study.
Anderson WG, Pantilat SZ, Meltzer D, Schnipper J, Kaboli P, Wetterneck TB, Gonzales D, Arora V, Zhang J, Auerbach AD.
Source
Division of Hospital Medicine, University of California, San Francisco, 94143, USA. anderson.wg@gmail.com

Abstract
BACKGROUND: Physicians may avoid code status discussions for fear of decreasing patient or surrogate satisfaction.

METHODS: Charts of patients admitted to medical services at 6 university hospitals were reviewed for documentation of a code status discussion in the first 24 hours of admission. Satisfaction with care provided during the hospitalization was assessed by telephone 1 month after discharge.

RESULTS: Of the 11 717 patients with 1-month follow-up, 1090 (9.3%) had a code status discussion documented. Patient or surrogate satisfaction did not differ by whether a discussion was documented. The lack of association persisted after adjusting for patient's severity of illness and using propensity adjustment for likelihood of having a discussion.

CONCLUSIONS: Discussing code status on admission to the inpatient setting did not affect patient or surrogate satisfaction.

PMID:20713421[PubMed - indexed for MEDLINE]
Code status discussions at hospital admission are ... [Am J Hosp Palliat Care. 2011] - PubMed result