Association of physician orders for life-sustaining treatment with icu admission among patients hospitalized near the end of life
JAMA Feb 20, 2020
Lee RY, Brumback LC, Sathitratanacheewin S, et al. - The present study was conducted to investigate the relationship between Physician Orders for Life-Sustaining Treatment (POLST) order for medical interventions and intensive care unit (ICU) admission for patients hospitalized near the end of life. Researchers performed a retrospective cohort study of 1818 decedents (mean age, 70.8 [SD, 14.7] years; 41% women) with POLSTs and with chronic illness who died between January 1, 2010, and December 31, 2017, and were hospitalized 6 months or less before death in a 2-hospital academic health care system. The data showed that treatment-limiting POLSTs were significantly correlated with lower rates of ICU admission compared with full-treatment POLSTs among individuals with POLSTs and with a chronic life-limiting illness who were hospitalized within 6 months of the death.
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