What question did this study set out to answer?

To establish the prevalence and demographic distribution of advance care plans available to admitting medical teams during emergency hospital admissions.

January 17, 2020EClinicalMedicineOpen Access

Advance care planning in patients referred to hospital for acute medical care: Results of a national day of care survey

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Authors

TKThomas G. KnightUniversity of Manchester AMAlexandra MalyonCambridge University Hospitals NHS Foundation Trust ZFZoë FritzUniversity of Cambridge

Discussion

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Implication

A cross-sectional audit reveals low advance care planning availability in acute medical admissions, highlighting critical gaps in communicating end-of-life treatment preferences.

Key Points

To establish the prevalence and demographic distribution of advance care plans available to admitting medical teams during emergency hospital admissions.
Conducted a national, single-day cross-sectional benchmarking survey (SAMBA18) across 123 acute hospitals in the UK.
Assessed N=6,072 patients presenting with an acute medical emergency, recording the availability of advance care planning and separate 'Do Not Attempt Cardiopulmonary Resuscitation' orders.
Overall, only 4.8% of acute emergency admissions (290 of 6,072 patients) had an advance care plan accessible to the admitting clinical team.
Advance care planning prevalence increased with age: 2.9% (95% CI 2.7–3.1%) in patients under 80 years, 9.5% (95% CI 9.1–10.0%) in those over 80, and 12.6% (95% CI 9.8–16.0%) in those over 90.
Document availability was higher in patients admitted from institutional care at 23.3% (95% CI 21.8–24.8%) versus 3.5% (95% CI 3.3–3.7%) from home, and was 7.1% (95% CI 6.6–7.6%) among patients readmitted within 30 days.

Cite This Study

Knight et al. (2020) studied this question.

synapsesocial.com/papers/69fc4ec48557ef7234fa3b34 https://doi.org/10.1016/j.eclinm.2019.12.005

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Implication

A cross-sectional audit reveals low advance care planning availability in acute medical admissions, highlighting critical gaps in communicating end-of-life treatment preferences.

Advance care planning in patients referred to hospital for acute medical care: Results of a national day of care survey

Discussion

Member takes

Implication

Key Points

Cite This Study

Advance care planning in patients referred to hospital for acute medical care: Results of a national day of care survey

Discussion

Member takes

Implication

Key Points

Cite This Study

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