Advance directives among hospitalized patients with heart failure.

摘要: Objectives The purpose of this study was to assess the frequency and correlates documented advance directives (ADs) among patients hospitalized for heart failure (HF). Background Discussing ADs with HF is critical identifying treatment goals consistent patients' values preferences facilitating health care team communication. Methods We retrospectively identified electronic medical records adult admitted 2 large tertiary hospitals either primary or secondary discharge diagnosis from September 2008 August 2013 presence in records. performed analyses including as admission only. Multivariable models were constructed investigate independent predictors ADs. Results Data included 44,768 admissions 24,291 individual over 5 years. Mean age at 64.8 ± 15.9 years; 47.9% these female, 51.8% black. median length stay all (3 10) days; 12.7% had Older age, female sex, white race, higher socioeconomic status, risk adverse in-hospital outcomes, ≥5 days, hospice discharge, palliative consultation, a do-not-resuscitate order associated significantly chance having A significant increase time noted, but more than 80% did not have end period. Conclusions In diverse population HF, most AD Although several factors probability, major opportunities exist subgroups improve documentation