title: Code status discussions at hospital admission are not associated with patient and surrogate satisfaction with hospital care: results from the multicenter hospitalist study.
abstract: BACKGROUND
  Physicians may avoid code status discussions for fear of decreasing patient or surrogate satisfaction.
  
  
  METHODS
  Charts of patients admitted to medical services at 6 university hospitals were reviewed for documentation of a code status discussion in the first 24 hours of admission. Satisfaction with care provided during the hospitalization was assessed by telephone 1 month after discharge.
  
  
  RESULTS
  Of the 11 717 patients with 1-month follow-up, 1090 (9.3%) had a code status discussion documented. Patient or surrogate satisfaction did not differ by whether a discussion was documented. The lack of association persisted after adjusting for patient's severity of illness and using propensity adjustment for likelihood of having a discussion.
  
  
  CONCLUSIONS
  Discussing code status on admission to the inpatient setting did not affect patient or surrogate satisfaction.
authors: Division of Hospital Medicine, University of California, San Francisco, 94143, USA. anderson.wg@gmail.com
authors: Wendy G
authors: WG
authors: Anderson
authors: Steven Z
authors: SZ
authors: Pantilat
authors: David
authors: D
authors: Meltzer
authors: Jeffrey
authors: J
authors: Schnipper
authors: Peter
authors: P
authors: Kaboli
authors: Tosha B
authors: TB
authors: Wetterneck
authors: David
authors: D
authors: Gonzales
authors: Vineet
authors: V
authors: Arora
authors: James
authors: J
authors: Zhang
authors: Andrew D
authors: AD
authors: Auerbach
mesh_terms: D000328:Adult; D000368:Aged; D001293:Attitude to Death; D016887:Cardiopulmonary Resuscitation; D003142:Communication; D005190:Family; D005260:Female; D020445:Hospitalists; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D012720:Severity of Illness Index; D012959:Socioeconomic Factors