Autor: |
Matthew C. Spence, Theresa Serra, Elissa Gross |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
Health Care Transitions, Vol 1, Iss , Pp 100025- (2023) |
Druh dokumentu: |
article |
ISSN: |
2949-9232 |
DOI: |
10.1016/j.hctj.2023.100025 |
Popis: |
Background: Health care proxy (HCP) completion rates by older adults are relatively low; however, not much is known about proxy completion rates by younger adults. Objectives: This study aimed to identify HCP completion rates amongst 18–21 year old young adults without intellectual disabilities admitted to a pediatric hospital peri-anesthesia care unit (PACU) and determine whether there was an association with any demographic factors. Methods: Retrospective chart review was performed to describe demographic variables, presence of HCP, and relationship to proxy. The relationship between demographic groups and HCP completion was analyzed by chi-square analysis for categorical variables and student t-test for continuous variables. Results: Overall, 31.4 % (128/408) of patients completed an HCP, and younger patients were more likely to have done so. Analysis showed no statistically significant relationship between other demographic variables and HCP completion. A majority of patients identified a parent as their proxy. Conclusion: Less than one third of young adult patients admitted to a children’s hospital perioperative care unit completed a health care proxy. Other than age, there was no statistically significant difference in demographic variables between those who completed and did not complete a health care proxy. Further research is needed to validate these findings in other clinical settings and drive targeted initiatives to increase advance care planning among young adult patients. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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