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Code Status Discussions at Hospital Admission Are Not Associated With Patient and Surrogate Satisfaction With Hospital Care: Results From the Multicenter Hospitalist Study.
Am J Hosp Palliat Care. 2010 Aug 16;
Authors: Anderson WG, Pantilat SZ, Meltzer D, Schnipper J, Kaboli P, Wetterneck TB, Gonzales D, Arora V, Zhang J, Auerbach AD
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 - as supplied by publisher]