Table 3.
Advance care planning characteristics
| ACP Characteristic | Total, n=488 | SQ Yes, n=317 | SQ No, n=171 | P Value |
|---|---|---|---|---|
| Advance care plan documentation | 135 (28) | 77 (24) | 58 (34) | 0.02 |
| Medical order (i.e., POST or similar) | 39 (8) | 17 (5) | 22 (13) | 0.004 |
| Treatment limitations (DNR/DNI/CMO)a | 27 (69) | 10 (59) | 17 (77) | 0.20 |
| Aggressive care (full code)a | 12 (31) | 7 (41) | 5 (23) | 0.20 |
| Provider completing medical order | 0.40 | |||
| Nephrologistb | 4 (10) | 1 (6) | 3 (14) | |
| Primary care physicianb | 5 (13) | 1 (6) | 4 (18) | |
| Palliative careb | 4 (10) | 1 (6) | 3 (14) | |
| Emergency department physicianb | 9 (23) | 4 (24) | 5 (23) | |
| Otherb | 17 (44) | 10 (59) | 7 (32) | |
| Duration between SQ date and ACP form completion date, dc | −53 (−366–173) | 100 (−201–209) | −221 (−546–43) | 0.10 |
Continuous variables are presented as medians (interquartile ranges), and categorical variables are presented as N (%). SQ, surprise question; POST, physician orders for scope of treatment; DNR, do not resuscitate; DNI, do not intubate; CMO, comfort measures only; ACP, advance care planning.
a
Limited to patients with advance directives.
b
Limited to patients who had completed an advance directive.
c
Range includes negative values when event occurred before SQ capture date.