Prevalence and Nature of Financial Considerations Documented in Narrative Clinical Records in Intensive Care Units | Zendy

Deborah D. Gordon | Zendy; Ihsaan H. Patel | Zendy; Amelia M. Pellegrini | Zendy; Roy H. Perlis | Zendy

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Prevalence and Nature of Financial Considerations Documented in Narrative Clinical Records in Intensive Care Units

Author(s) -

Deborah D. Gordon,

Ihsaan H. Patel,

Amelia M. Pellegrini,

Roy H. Perlis

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.4178

Subject(s) - medicine , logistic regression , intensive care unit , medical record , cohort , demography , intensive care , marital status , finance , emergency medicine , pediatrics , intensive care medicine , population , environmental health , sociology , economics

Key Points Question How often are cost considerations documented in narrative clinical notes, and do those considerations influence treatment decisions? Findings In an in silico cohort study of narrative clinical notes from 46 146 index admissions to the intensive care unit at a large academic medical center, 4% had at least 1 note reflecting financial considerations during the intensive care unit stay. Meaning Even in the intensive care unit setting, financial considerations are addressed and may be associated with adjustments to treatment decisions.

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