ArticleResuscitation2015
Code status and resuscitation options in the electronic health record.
Article in Resuscitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Early Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial.Critical care medicine · 2019Trial
- Clinical Decision Support Leveraging Health Information Exchange Improves Concordance with Patients' Resuscitation Orders and End-of-Life Wishes.Applied clinical informatics · 2025Article
- Impact of the COVID-19 Public Health Crisis and a Structured COVID Unit on Physician Behaviors in Code Status Ordering.The American journal of hospice & palliative care · 2024Article
- Goals-of-care discussion in older adults: a clinical and ethical approach.Singapore medical journal · 2024Article
- Quality Improvement Study Using a Machine Learning Mortality Risk Prediction Model Notification System on Advance Care Planning in High-Risk Patients.Journal of Brown hospital medicine · 2024Article
- Mortality and healthcare resource utilization after cardiac arrest in the United States: A decade of unclear progress and stark disparities.Resuscitation · 2023Article
- If Your Heart Were to Stop: Characterization and Comparison of Code Status Orders in Adult Patients Admitted with COVID-19.Journal of palliative medicine · 2022Article
- Code status at time of rapid response activation - Impact on escalation of care?Resuscitation plus · 2021Article
- Code Status Documentation Availability and Accuracy Among Emergency Patients with End-stage Disease.The western journal of emergency medicine · 2021Article
- Code Status Reconciliation to Improve Identification and Documentation of Code Status in Electronic Health Records.Applied clinical informatics · 2017Article
- Discussion of "Representation of People's Decisions in Health Information Systems: A Complementary Approach for Understanding Health Care Systems and Population Health".Methods of information in medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
aimThe advance discussion and documentation of code-status is important in preventing undesired cardiopulmonary resuscitation and related end of life interventions. Code-status documentation remains infrequent and paper-based, which limits its usefulness. This study evaluates a tool to document code-status in the electronic health records at a large teaching hospital, and analyzes the corresponding data.
methodsEncounter data for patients admitted to the Medical Center were collected over a period of 12 months (01-APR-2012-31-MAR-2013) and the code-status attribute was tracked for individual patients. The code-status data were analyzed separately for adult and pediatric patient populations. We considered 131,399 encounters for 83,248 adult patients and 80,778 encounters for 55,656 pediatric patients in this study.
results71% of the adult patients and 30% of the pediatric patients studied had a documented code-status. Age and severity of illness influenced the decision to document code-status. Demographics such as gender, race, ethnicity, and proximity of primary residence were also associated with the documentation of code-status.
conclusionAbsence of a recorded code-status may result in unnecessary interventions. Code-status in paper charts may be difficult to access in cardiopulmonary arrest situations and may result in unnecessary and unwanted interventions and procedures. Documentation of code-status in electronic records creates a readily available reference for care providers.
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Registered trials
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