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. 2019 Dec 17;70(690):e20–e28. doi: 10.3399/bjgp19X707117

Table 1.

Descriptive overview of 1034 patient records

Frailty/dementia Cancer Organ failure Total
Total number of patient records assessed 408 361 265 1034
Patient records with a KIS, n (%) 299 (73) 288 (80) 125 (47) 712 (69)

Components of anticipatory care planning of total records with a KIS, n (%)a
Resuscitation status recorded 222 (74) 188 (65) 72 (58) 482 (68)
Palliative care summary commenced 66 (22) 210 (73) 38 (30) 314 (44)
Preferred place of care recorded 180 (60) 152 (53) 58 (46) 390 (55)
Preferred place of final care/death recorded 153 (51) 118 (41) 36 (29) 307 (43)
Anticipatory medication started before death 71 (24) 108 (38) 27 (22) 206 (29)
Next of kin or carer recorded in KIS 196 (66) 156 (54) 72 (58) 424 (60)
Next of kin or carer contact details in KIS 127 (42) 129 (45) 56 (45) 312 (44)

Timing of anticipatory care planning, median weeks before deathb
KIS commenced before death 88 15 82 45
Resuscitation status discussed before death 32 6 25 15
Palliative care summary commenced before death 2 9 13 8
Preferred place of care documented before death 34 6 29 13
Preferred place of final care documented before death 14 6 8 8
Anticipatory medication prescribed before death 1 3 1 2

Place of death, n (%)
Hospitalc 168 (41) 149 (41) 158 (60) 475 (46)
Home 56 (14) 98 (27) 78 (29) 232 (22)
Care home 174 (43) 24 (7) 13 (5) 211 (20)
Hospice 3 (1) 78 (22) 3 (1) 84 (8)
Other 7 (2) 12 (3) 13 (5) 32 (3)
a

Components of anticipatory care planning shows the number of patients with a KIS record containing the information listed. The % is the number of KIS’s with each item of information recorded divided by the number of patients with a KIS by illness trajectory.

b

Median weeks based only on those patients with each component documented in the KIS.

c

’Hospital’ includes both acute and community hospitals. KIS = Key Information Summary.