Table 2. Effect of Clinician-Facing Intervention on Primary and Secondary Outcomes.
| Intervention (n = 1255) | Usual care (n = 1257) | Adjusted difference, % (95% CI)a | P valuea | |
|---|---|---|---|---|
| Primary outcome | ||||
| EHR-documented goals-of-care discussions within 30 d, No. (%) | 433 (34.5) | 382 (30.4) | 4.1 (0.4 to 7.8) | .03 |
| Secondary outcomes | ||||
| Required ICU care within 30 d after randomization, No. (%) | 343 (27.3) | 356 (28.3) | −1.0 (−4.4 to 2.5) | .58 |
| Required ED care within 30 d after randomization, No. (%) | 217 (17.3) | 234 (18.6) | −1.3 (−4.3 to 1.7) | .39 |
| Hospital readmission within 7 d after hospital discharge, No. (%) | 81 (6.5) | 90 (7.2) | −0.7 (−2.7 to 1.3) | .48 |
| Death within 30 d after randomization, No. (%) | 70 (5.6) | 64 (5.1) | 0.5 (−1.3 to 2.2) | .59 |
| Palliative care consultation within 30 d after randomization, No. (%) | 63 (5.0) | 62 (4.9) | 0.001 (−1.6 to 1.8) | .91 |
| Time spent out of ICU and alive within 30 d after randomization, mean (SD), d | 27.8 (6.2) | 27.9 (6.1) | −0.08 (−0.6 to 0.4)b | .75 |
| Time spent out of hospital and alive within 30 d after randomization, mean (SD), d | 21.6 (9.1) | 22.0 (8.7) | −0.4 (−1.1 to 0.3)b | .31 |
| Time spent in hospital after randomization, mean (SD), d | 8.4 (11.9) | 8.1 (12.1) | 0.3 (−0.6 to 1.3)b | .48 |
Abbreviations: ED, emergency department; EHR, electronic health record; ICU, intensive care unit.
a
Adjusted differences are expressed as differences in percentages or means, as appropriate, from linear regression models with robust SEs adjusted for history of dementia (as measured at randomization) and study site.
b
Data are expressed as adjusted difference in means (95% CI).