Key result
Advance care plans are linked to lower odds of surrogate decision regret after stroke.
Why the study?
Does advance care planning reduce decision regret among stroke surrogate decision makers?
Cohort
Does advance care planning reduce decision regret among stroke surrogate decision makers?
Answers are grounded in this paper and cite their sources.
Formal written advance care plans are associated with reduced decision regret among surrogate decision makers for stroke patients.
OBJECTIVES: Investigate the association between advance care planning and decision regret among stroke surrogate decision makers. METHODS: People hospitalized with ischemic or hemorrhagic stroke and their surrogate decision makers were enrolled. Surrogates completed the validated decision regret scale (range 0-100, higher worse, analyzed as "any" vs "none") in the year after stroke (postdischarge, 3, 6, and 12 months). The association of advance care planning and regret was assessed with multilevel mixed effects logistic regression models, adjusted for prespecified covariates. DISCUSSION: Formal written advance care plans were associated with lower odds of any decision regret among surrogate decision makers in the year after stroke.
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Zahuranec et al. (2025) conducted a cohort in Ischemic or hemorrhagic stroke. Formal written advance care plans vs. No formal written advance care plan was evaluated on Any decision regret among surrogate decision makers (p=0.02). Formal written advance care plans were associated with lower odds of any decision regret among stroke surrogate decision makers in the year after stroke (P=0.02).
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