The lack of documentation of preferences in a cohort of adults who died after ischemic stroke.

ABSTRACT:

Objective

To measure the extent and timing of physicians' documentation of communication with patients and families regarding limitations on life-sustaining interventions, in a population cohort of adults who died within 30 days after hospitalization for ischemic stroke.

Methods

We used the California Office of Statewide Health Planning and Development Patient Discharge Database to identify a retrospective cohort of adults with ischemic strokes at all California acute care hospitals from December 2006 to November 2007. Of 326 eligible hospitals, a representative sample of 39 was selected, stratified by stroke volume and mortality. Medical records of 981 admissions were abstracted, oversampled on mortality and tissue plasminogen activator receipt. Among 198 patients who died

SUBMITTER: Robinson MT 

PROVIDER: S-EPMC4891211 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature