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Advance Care Planning in A Preoperative Clinic: A Retrospective Chart Review

  • Shilpee SinhaEmail author
  • Rachel N. Gruber
  • Ann H. Cottingham
  • Barb Nation
  • Kathleen A. Lane
  • Na Bo
  • Alexia Torke
Concise Research Reports

INTRODUCTION

Patients seen in preoperative testing clinics are at an increased risk of surgical complications and most are incapacitated for during anesthesia. Advance directives (ADs) are important to guide care in the event of emergencies when patients are unable to speak for themselves. The goal of this study was to determine the frequency with which ADs are completed for patients seen in preoperative clinics prior to elective surgery and identify demographic and clinical characteristics associated with having ADs available in the electronic medical record (EMR).

METHODS

Study Design

A retrospective EMR chart review was conducted on 400 consecutive patients who underwent a preoperative evaluation in a preoperative clinic from February 1 through early March 2017 at two high-volume hospitals in a midwestern urban academic tertiary referral center.

Data Collection

All raters first completed chart reviews of the same 30 patients to calculate interrater reliability.

We collected...

Notes

Acknowledgements

The authors would like to acknowledge Greg Sachs and Richard M. Frankel for their mentorship through the IUSM ASPIRE program.

Funding

Dr. Torke was supported by a Midcareer Investigator Award in Patient-Oriented Research (K24 AG053794).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

References

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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Shilpee Sinha
    • 1
    • 2
    • 3
    • 4
    • 5
    Email author
  • Rachel N. Gruber
    • 1
    • 6
    • 7
  • Ann H. Cottingham
    • 1
    • 3
    • 6
    • 7
  • Barb Nation
    • 2
    • 3
  • Kathleen A. Lane
    • 3
    • 6
    • 8
  • Na Bo
    • 3
    • 6
    • 8
  • Alexia Torke
    • 2
    • 5
    • 6
    • 9
    • 10
    • 11
  1. 1.Advanced Scholars Program for Internists in Research and Education (ASPIRE)Indiana University (IU) School of MedicineIndianapolisUSA
  2. 2.IU Health PhysiciansIndianapolisUSA
  3. 3.Indiana University School of MedicineIndianapolisUSA
  4. 4.IUH Department of Palliative Care, Academic Health CenterIndiana University School of MedicineIndianapolisUSA
  5. 5.Division of General Internal Medicine and Geriatrics, School of MedicineIndiana UniversityIndianapolisUSA
  6. 6.VA Health Services Research and Development Center for Health Information and CommunicationRichard L. Roudebush VA Medical CenterIndianapolisUSA
  7. 7.Indiana University Center for Health Services and Outcomes ResearchRegenstrief Institute, Inc.IndianapolisUSA
  8. 8.Department of BiostatisticsIndiana University School of MedicineIndianapolisUSA
  9. 9.Indiana University Center for Aging ResearchRegenstrief Institute, Inc.IndianapolisUSA
  10. 10.Fairbanks Center for Medical EthicsIU HealthIndianapolisUSA
  11. 11.Daniel F. Evans Center for Spiritual and Religious Values in HealthcareIU HealthIndianapolisUSA

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