Cardiac arrest & resuscitation
Prevalence, Management, and Outcomes Related to Preoperative Medical Orders for Life Sustaining Treatment (MOLST) in an Adult Surgical Population: Preoperative MOLST and Code Status Discussions
Authors' conclusion
Fewer than half of surgical patients with preoperative MOLST have documented code status discussions before surgery.
Study context
- Population
- Adults having surgery during a 1-year period at a tertiary care academic center in Boston, Massachusetts402 with preoperative MOLST
- Participants
- 21,787 adults
- Outcome
- Prevalence of documented preoperative code status discussions in patients with preoperative MOLST
Methodological detailssingle-centre, tertiary care academic center
- Single-centre
- Tertiary care academic center
Main finding
As reported in the abstract
Documented presurgery code status discussion
MOLST
42.0%
169 of 402
Observational data: associations, not effects.
Further findings
| Outcome | Values |
|---|---|
| Chose to limit CPR (within MOLST) | MOLST 55.7% |
| Chose to limit intubation and mechanical ventilation (within MOLST) | MOLST 53.2% |
| Discharged home | MOLST 42% |
| Readmission · 30 days | MOLST 25.6% |
| Mortality · 30 days | MOLST 9.2% |
| Cumulative mortality · 90 days | MOLST 14.9% |
Elective or nonurgent surgery
- Surgery elective or nonurgent, n (%)
- 362 (90%)
LOS
- Median LOS (Q1, Q3)
- 5.1 days (1.9, 9.9)
Original publication
Prevalence, Management, and Outcomes Related to Preoperative Medical Orders for Life Sustaining Treatment (MOLST) in an Adult Surgical Population: Preoperative MOLST and Code Status Discussions. Ann Surg. Published 18 December 2020. doi:10.
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