Conflicting Orders in Physician Orders for Life-Sustaining Treatment Forms.

ABSTRACT:

Background/objectives

Many older persons with chronic illness use Physician Orders for Life-Sustaining Treatment (POLST) to document portable medical orders for emergency care. However, some POLSTs contain combinations of orders that do not translate into a cohesive care plan (eg, cardiopulmonary resuscitation [CPR] without intensive care, or intensive care without antibiotics). This study characterizes the prevalence and predictors of POLSTs with conflicting orders.

Design

Retrospective cohort study.

Setting

Large academic health system.

Participants

A total of 3,123 POLST users with chronic life-limiting illness who died between 2010 and 2015 (mean age = 69.7 years).

Measurements

In a retrospective review of all POLSTs in participants' electronic healt

SUBMITTER: Lee RY 

PROVIDER: S-EPMC7744421 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature