Cardiac arrest & resuscitation
Characterising trends in the initiation, timing, and completion of recommended summary plan for emergency care and treatment (ReSPECT) plans: Retrospective analysis of routine data from a large UK hospital trust
Authors' conclusion
Variation in the initiation, timing, and completion of ReSPECT plans was identified by applying an evaluation framework.
Study context
- Population
- Patients with ReSPECT plans in the electronic health record of an acute hospital trust in England, UK
- Participants
- 23,729 ReSPECT plans
- Outcome
- Socio-demographic and disease characteristics associated with initiation, timing and completion of ReSPECT plans
Methodological detailssecondary analysis of routine data, single hospital trust, 32 months
- Secondary analysis of routine data
- Single hospital trust
- 32 months
Main finding
As reported in the abstract
- Proportion of admissions with a ReSPECT plan, January 2019
- 4.2%
- Proportion of admissions with a ReSPECT plan, August 2021
- 6.9%
- Proportion of admissions with a ReSPECT plan, mean over period
- 8.1%
- Time from plan completion to death, median, all patients (days)
- 41
- Time from plan completion to death, median, patients with capacity (days)
- 58
- Time from plan completion to death, median, patients without capacity (days)
- 21
- Preferred place of death recorded as 'hospital': increase in likelihood of dying in hospital
- five-fold
Observational data: associations, not effects.
Original publication
Characterising trends in the initiation, timing, and completion of recommended summary plan for emergency care and treatment (ReSPECT) plans: Retrospective analysis of routine data from a large UK hospital trust. Resuscitation. Published 7 March 2024. doi:10.
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