03434nam a22005297a 4500
190724s20192019 xxu||||| |||| 00| 0 eng d
1932-6203
10.1371/journal.pone.0217113 [doi]
PMC6581427 [pmc]
PONE-D-19-09139 [pii]
Ovid MEDLINE(R)
31211788
Demonstrating the impact of POLST forms on hospital care requires information not contained in state registries.
PLoS ONE [Electronic Resource]. 14(6):e0217113, 2019.
PLoS ONE. 14(6):e0217113, 2019.
PloS one
2019
FY2019
epublish
2019-07-24
Available online through MWHC library: 2006 - present
BACKGROUND: Physician Orders for Life-Sustaining Treatment (POLST) programs have expanded rapidly, but evaluating their impact on hospital care is challenging.
CONCLUSION: Among patients who wanted to avoid intubation and/or CPR, MOLST forms were protective when the patient was unaccompanied by a healthcare proxy at admission and could not communicate. Fewer than 10% of patients met these criteria during unplanned readmissions, and state registry data does not allow this sub-population to be identified.
DESIGN: Prospective cohort study.
OBJECTIVES: To demonstrate how careful study design can reveal POLST's impact at hospital admission and why analyses of state registry data are unlikely to capture POLST's effects.
RESULTS: Among 1,507 patients with DNR/I orders at discharge, 124 (8%) had unplanned readmissions, 112 (90%) could communicate or were accompanied by a proxy at readmission, and 12 (10%) could not communicate and were unaccompanied. For patients who were unaccompanied and could not communicate, MOLST significantly decreased the median time from readmission to DNR/I order (1.2 vs 27.1 hours, P = .001), but this association was greatly attenuated among patients who could communicate or were accompanied by a proxy (16.4 vs 25.4 hours P = .10).
SETTING AND PARTICIPANTS: Adult in-patients with Do Not Intubate and/or Do Not Resuscitate (DNR/I) orders in the electronic medical record at the time of discharge from Johns Hopkins Hospital over 18 months. For patients with unplanned readmissions within 30 days, records were reviewed to determine if a Maryland Medical Order for Life-Sustaining Treatment (MOLST) form was presented and for the time from readmission to a DNR/I order in the EMR. Analyses were stratified by whether patients could communicate or were accompanied by a proxy at readmission.
English
*Patient Care
*Physicians
*Resuscitation Orders
Aged
Cohort Studies
Female
Humans
Male
Middle Aged
Patient Admission/lj [Legislation & Jurisprudence]
Patient Admission/sn [Statistics & Numerical Data]
MedStar Washington Hospital Center
Medicine/Palliative Care
Journal Article
Rao, Anirudh
Needham DM, Ning X, Rao A, Tao JJ, Turnbull AE
https://dx.doi.org/10.1371/journal.pone.0217113
https://dx.doi.org/10.1371/journal.pone.0217113
ART
Article
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0
0
0
Article
authcat
authcat
2019-07-24
0
31211788
31211788
2019-07-24
2019-07-24
ART
4477
4477