Amelia Barwise|Carolina Jaramillo|Paul J. Novotny|Mark L. Wieland|Charat Thongprayoon|Ognjen Gajic|Michael E. Wilson
Differences in Code Status and End-of-Life Decision Making in Patients With Limited English Proficiency in the Intensive Care Unit
Mayo Clinic|Mayo Clinic|Mayo Clinic|Mayo Clinic in Arizona|Bassett Medical Center|Mayo Clinic|Mayo Clinic|Mayo Clinic in Arizona
determine whether code status advance directives decisions limit life support different patients limited english proficiency lep intensive care unit icu compared patients whose primary language englishwe conducted retrospective cohort study adult patients admitted 7 icus single tertiary academic medical center may 31 2011 june 1 2014of 27523 patients admitted icu 779 28 lep adjusted severity illness sex education level insurance status patients lep less likely change code status full code resuscitate icu admission odds ratio 062 95 ci 046082 p001 took 38 days 95 ci 1956 days p001 longer change resuscitate patients lep died icu less likely receive comfort measures order set 038 95 ci 016091 p03 took 191 days 95 ci 132251 days p001 longer transition comfort measures patients lep less likely advance directive 023 95 ci 018029 p001 likely receive mechanical ventilation 126 95 ci 107148 p005 likely restraints used 136 95 ci 111165 p003 hospital length stay 27 days longer patients lep additional adjustment religion race age yielded similar resultsthere important differences endoflife care decision making patients lep