Effect of advance care planning video on do-not-hospitalize orders for nursing home residents with advanced illness.
Effect of advance care planning video on do-not-hospitalize orders for nursing home residents with advanced illness.
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DOI：
10.1186/s12877-022-02970-3
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发表时间：
2022-04-08
期刊：
影响因子：
4.1
通讯作者：
Mor V
中科院分区：
文献类型：
--
作者：
McCreedy EM;Yang X;Mitchell SL;Gutman R;Teno J;Loomer L;Moyo P;Volandes A;Gozalo PL;Belanger E;Ogarek J;Mor V
The purpose of the study is to evaluate the effect of an Advance Care Planning (ACP) Video Program on documented Do-Not-Hospitalize (DNH) orders among nursing home (NH) residents with advanced illness. Secondary analysis on a subset of NHs enrolled in a cluster-randomized controlled trial (41 NHs in treatment arm implemented the ACP Video Program: 69 NHs in control arm employed usual ACP practices). Participants included long (> 100 days) and short (≤ 100 days) stay residents with advanced illness (advanced dementia or cardiopulmonary disease (chronic obstructive pulmonary disease or congestive heart failure)) in NHs from March 1, 2016 to May 31, 2018 without a documented Do-Not-Hospitalize (DNH) order at baseline. Logistic regression with covariate adjustments was used to estimate the impact of the resident being in a treatment versus control NH on: the proportion of residents with new DNH orders during follow-up; and the proportion of residents with any hospitalization during follow-up. Clustering at the facility-level was addressed using hierarchical models. The cohort included 6,117 residents with advanced illness (mean age (SD) = 82.8 (8.4) years, 65% female). Among long-stay residents (n = 3,902), 9.3% (SE, 2.2; 95% CI 5.0–13.6) and 4.2% (SE, 1.1; 95% CI 2.1–6.3) acquired a new DNH order in the treatment and control arms, respectively (average marginal effect, (AME) 5.0; SE, 2.4; 95% CI, 0.3–9.8). Among short-stay residents with advanced illness (n = 2,215), 8.0% (SE, 1.6; 95% CI 4.6–11.3) and 3.5% (SE 1.0; 95% CI 1.5–5.5) acquired a new DNH order in the treatment and control arms, respectively (AME 4.4; SE, 2.0; 95% CI, 0.5–8.3). Proportion of residents with any hospitalizations did not differ between arms in either cohort. Compared to usual care, an ACP Video Program intervention increased documented DNH orders among NH residents with advanced disease but did not significantly reduce hospitalizations. ClinicalTrials.gov Identifier: NCT02612688. The online version contains supplementary material available at 10.1186/s12877-022-02970-3.
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DOI：
10.1111/j.1532-5415.2005.53426.x
发表时间：
2005-08-01
影响因子：
6.3
作者：
Lamberg, JL;Person, CJ;Mitchell, SL
通讯作者：
Mitchell, SL
影响因子：
39
作者：
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通讯作者：
Mitchell, Susan L.
影响因子：
2.8
作者：
Epstein, Andrew S.;Volandes, Angelo E.;O'Reilly, Eileen M.
通讯作者：
O'Reilly, Eileen M.
影响因子：
39
作者：
Mitchell, Susan L.;Volandes, Angelo E.;Mor, Vincent
通讯作者：
Mor, Vincent
DOI：
10.1001/jama.2021.16430
发表时间：
2021-10-26
期刊：
JAMA
影响因子：
--
作者：
通讯作者：
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