Key PointsQuestionWhy do vascular surgery patients and their families choose comfort care, and how well are we using palliative care teams and advance directives? FindingsThis cohort study of medical records of patients at the end of life found that most vascular surgery patients who die while hospitalized are placed on comfort measures, but few had advance directives or a palliative care consultation. Number of days in the intensive care unit or receiving mechanical ventilation, needing a tracheostomy, or requiring dialysis correlated with transition to comfort care. MeaningPreoperative advance care planning may improve care in older, sicker patients at the end of life.
JAMA Surgery – American Medical Association
Published: Feb 2, 2017
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