LitCovid-sentences  

PubMed:33290730 JSONTXT 11 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T1 0-89 Sentence denotes Changes in Advance Care Planning for Nursing Home Residents During the COVID-19 Pandemic.
T2 90-100 Sentence denotes OBJECTIVE:
T3 101-289 Sentence denotes Describe the care preference changes among nursing home residents receiving proactive Advance Care Planning (ACP) conversations from health care practitioners during the COVID-19 pandemic.
T4 290-297 Sentence denotes DESIGN:
T5 298-325 Sentence denotes Retrospective chart review.
T6 326-351 Sentence denotes SETTING AND PARTICIPANTS:
T7 352-614 Sentence denotes Nursing home residents (n = 963) or their surrogate decision makers had at least 1 ACP conversation with a primary health care practitioner between April 1, 2020, and May 30, 2020, and made decisions of any changes in code status and hospitalization preferences.
T8 615-623 Sentence denotes METHODS:
T9 624-857 Sentence denotes Health care practitioners conducted ACP conversations proactively with residents or their surrogate decision makers at 15 nursing homes in a metropolitan area of the southwestern United States between April 1, 2020, and May 30, 2020.
T10 858-966 Sentence denotes ACP conversations reviewed code status and goals of care including Do Not Hospitalize (DNH) care preference.
T11 967-1072 Sentence denotes Resident age, gender, code status, and DNH choice before and after the ACP conversations were documented.
T12 1073-1194 Sentence denotes Descriptive data analyses identified significant changes in resident care preferences before and after ACP conversations.
T13 1195-1203 Sentence denotes RESULTS:
T14 1204-1338 Sentence denotes Before the most recent ACP discussion, 361 residents were full code status and the rest were Out of Hospital Do Not Resuscitate (DNR).
T15 1339-1413 Sentence denotes Of the individuals with Out of Hospital DNR, 188 residents also chose DNH.
T16 1414-1605 Sentence denotes After the ACP conversation, 88 residents opted to change from full code status to Out of Hospital DNR, thereby increasing the percentage of residents with Out of Hospital DNR from 63% to 72%.
T17 1606-1711 Sentence denotes Almost half of the residents decided to keep or change to the DNH care option after the ACP conversation.
T18 1712-1740 Sentence denotes CONCLUSION AND IMPLICATIONS:
T19 1741-1872 Sentence denotes Proactive ACP conversations during COVID-19 increased DNH from less than a quarter to almost half among the nursing home residents.
T20 1873-1909 Sentence denotes Out of Hospital DNR increased by 9%.
T21 1910-2172 Sentence denotes It is important for all health care practitioners to proactively review ACP with nursing home residents and their surrogate decision makers during a pandemic, thereby ensuring care consistent with personal goals of care and avoiding unnecessary hospitalizations.