Code status discussions at hospital admission are not associated with patient and surrogate satisfaction with hospital care: Results from the multicenter hospitalist study

Wendy G. Anderson, Steven Z. Pantilat, David Meltzer, Jeffrey Schnipper, Peter Kaboli, Tosha B. Wetterneck, David Gonzales, Vineet Arora, James Zhang, Andrew D. Auerbach

Research output: Contribution to journalArticle

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)102-108
Number of pages7
JournalAmerican Journal of Hospice and Palliative Medicine
Volume28
Issue number2
DOIs
StatePublished - Mar 1 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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