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• W2340983434 abstract "Objective:To explore characteristics of patients with neurologic disease who have ethics consults. We hypothesize that minorities and uninsured patients receive more ethics consults.Background: In patients with neurologic disease ethical concerns are particularly pertinent. The Joint Commission in 1992 required hospitals for accreditation to develop a “mechanism for consideration of ethical issues.” Hospital ethics committees have been the most common response to this mandate. Our ethics committee consist of representatives from ethics, physicians, social work, therapy, legal, patient relations, nursing and community representatives. We present our experience with inpatient ethics consults in patients with neurologic disease.Methods:This is a retrospective study analyzing patients admitted to a tertiary hospital on the neurology or neurosurgery service between May 2008- December2014. Hospital administrative data and records from the ethics consultative services were used for this analysis.Results:During this period 35243 patients were admitted to the hospital to the neurology or neurosurgery service with available demographics. A total of 240 ethics consults were performed (0.7[percnt] of all admissions) averaging 37 consults a year. The most common reason for consultation was identification of a surrogate decision maker 89(37[percnt]), assistance with end of life issues 75(31[percnt]), assistance with plan of care 55(23[percnt]) followed by organ donation issues and others. Most ethics consults were called by clinical liaisons 60(24[percnt]), followed by physicians (21[percnt]) and social work (19[percnt]). Only 5 (2[percnt]) consults were called by a patient’ family members. When compared to the population of patients admitted during that period of time, ethics consults were more likely to be called on patients who were older (OR1.01,p<0.01), male (OR1.4,p=0.02), black (OR1.50,p=0.01) and without insurance (p=1.39,p<0.01).Conclusion: Our ethics committee exists in accordance with state statutes and Joint Commission recommendations. Older black men without insurance are most likely to have ethics consults compared to the general inpatient population. Disclosure: Dr. Vu has nothing to disclose. Dr. Worsham has nothing to disclose. Dr. Snow has nothing to disclose. Dr. Lauritano has nothing to disclose. Dr. Luther has nothing to disclose. Dr. Ahmed has nothing to disclose. Dr. Ha has nothing to disclose. Dr. Choi has nothing to disclose." @default.
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• W2340983434 date "2016-04-05" @default.
• W2340983434 modified "2023-09-30" @default.
• W2340983434 title "Inpatient Ethics Consults in Patients with Neurologic Diseases (P1.367)" @default.
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