Instability in End-of-Life Care Preference Among Heart Failure Patients: Secondary Analysis of a Randomized Controlled Trial in Singapore.

ABSTRACT:

Background

Efforts to improve quality of end-of-life (EOL) care are increasingly focused on eliciting patients' EOL preference through advance care planning (ACP). However, if patients' EOL preference changes over time and their ACP documents are not updated, these documents may no longer be valid at the time EOL decisions are made.

Objectives

To assess extent and correlates of changes in stated preference for aggressive EOL care over time.

Design

Secondary analysis of data from a randomized controlled trial of a formal ACP program versus usual care in Singapore.

Patients

Two hundred eighty-two patients with heart failure (HF) and New York Heart Association Classification III and IV symptoms were recruited and interviewed every 4 months for up to 2 years to ass

SUBMITTER: Malhotra C 

PROVIDER: S-EPMC7351942 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature