Celso Brian G, Meenrajan Senthil
Department of Psychiatry, University of Florida College of Medicine, Jacksonville, FL 32209, USA.
Am J Hosp Palliat Care. 2010 Sep;27(6):398-401. doi: 10.1177/1049909110363806. Epub 2010 Mar 23.
Delayed discussion of a patient's code status can lead to shortsighted care plans that increase hospital length of stay (LOS) and costs.
Retrospective study compared intensive care unit (ICU) patients who accepted verses rejected palliation and examined the relationships between 5 predictor variables with the outcome variables ICU LOS and total hospital LOS, and total direct and variable hospital cost.
A significant number of patients who accepted palliative care agreed to a hospice referral or expired in the hospital. The relationships between days until a family conference, do-not-resuscitate (DNR) order, and the number of invasive procedures were significant.
The amount of time that expires until the issue of code status was settled to clearly related to utilization of hospital resources.
对患者的代码状态进行延迟讨论可能会导致目光短浅的护理计划，从而增加住院时间（LOS）和成本。
回顾性研究比较了接受与拒绝缓和治疗的重症监护病房（ICU）患者，并检查了5个预测变量与结果变量ICU住院时间、总住院时间以及医院总直接和可变成本之间的关系。
大量接受姑息治疗的患者同意转诊至临终关怀机构或在医院死亡。直到召开家庭会议的天数、不要复苏（DNR）医嘱以及侵入性操作的数量之间的关系显著。
在确定代码状态之前所经过的时间与医院资源的利用明显相关。
