Advance Care Planning in A Preoperative Clinic: A Retrospective Chart Review
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).
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.
All raters first completed chart reviews of the same 30 patients to calculate interrater reliability.
The authors would like to acknowledge Greg Sachs and Richard M. Frankel for their mentorship through the IUSM ASPIRE program.
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.