Predictors of Documented Goals-of-Care Discussion for Hospitalized Patients With Chronic Illness.

ABSTRACT:

Context

Goals-of-care discussions are important for patient-centered care among hospitalized patients with serious illness. However, there are little data on the occurrence, predictors, and timing of these discussions.

Objectives

To examine the occurrence, predictors, and timing of electronic health record (EHR)-documented goals-of-care discussions for hospitalized patients.

Methods

This retrospective cohort study used natural language processing (NLP) to examine EHR-documented goals-of-care discussions for adults with chronic life-limiting illness or age ≥80 hospitalized 2015-2019. The primary outcome was NLP-identified documentation of a goals-of-care discussion during the index hospitalization. We used multivariable logistic regression to evaluate associations with

SUBMITTER: Uyeda AM 

PROVIDER: S-EPMC9928787 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature