Table 3.
Receipt of Advance Care Planninga by Response to 30-Day and 1-Year Surprise Questions
| 30-day surprise question (n = 381) | p value | 1-year surprise question (n = 365) | p value | ||||
|---|---|---|---|---|---|---|---|
| Total | SQ+b | SQ-c | SQ+b | SQ-c | |||
| (n = 428) | (n = 19) | (n = 362) | (n = 108) | (n = 257) | |||
| Goals of care discussion | 68 (16 %) | 8 (42 %) | 54 (15 %) | < 0.01 | 27 (25 %) | 27 (11 %) | < 0.01 |
| AD/POLST completed | 132 (31 %) | 10 (53 %) | 115 (32 %) | 0.10 | 50 (46 %) | 58 (23 %) | < 0.01 |
| Code status change | 0.40 | < 0.01 | |||||
| No change | 335 (78 %) | 14 (74 %) | 281 (78 %) | 74 (69 %) | 214 (83 %) | ||
| Full to decreased measures | 85 (20 %) | 4 (21 %) | 74 (20 %) | 33 (31 %) | 38 (15 %) | ||
| Decreased measures to full/increased | 5 (1 %) | 1 (5.3%) | 4 (1.1 %) | 1 (1 %) | 2 (1 %) | ||
| Palliative care consult | 83 (19 %) | 9 (47 %) | 45 (12 %) | < 0.01 | 19 (18 %) | 27 (11 %) | 0.09 |
aAdvance care planning was considered to have occurred if any of the following were true: advance directive or physician orders for life sustaining treatment form in a chart during or after admission, goals of care discussion completed, palliative care consultation performed, or any change in code status documented
bSQ+ response equates, “No, would not be surprised”
cSQ- response equates, “Yes, would be surprised”