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Table 3 Comparison of parameters before and after the enforcement of the LEMD law

From: Consent for withholding life-sustaining treatment in cancer patients: a retrospective comparative analysis before and after the enforcement of the Life Extension Medical Decision law

Variables

Group

p value

Orders for LST before enforcement of the LEMD law (n = 195)

Advance directives or life-sustaining treatment plan after enforcement of the LEMD law (n = 217)

Time taken from reception to obtaining written consent (min)

273 (117, 501)

232 (0, 683)

0.031

Length of stay in the ER (min)

817 (447, 1705)

1195 (594, 2151)

0.006

Length of hospital stay (days)

4 (1, 10)

2 (0, 8)

0.001

Medical expenses (won)

3,718,989

(1,776,908, 6,629,026)

2,691,195

(1,356,584, 5,347,890)

0.008

Type of ER visit

  

0.860

 Direct visit to the ER without transfer from another hospital

144 (73.9)

155 (71.4)

 

 Transfer from another hospital

46 (23.6)

56 (25.8)

 

 Transfer from the OPD

5 (2.6)

6 (2.8)

 

Transfer from the ER to a secondary hospital

16 (8.2)

46 (21.2)

0.001

Transfer from the ER to a nursing hospital

2 (1.0)

21 (9.7)

< 0.001

Survival in the ER

173 (88.7)

186 (85.7)

0.363

Life-sustaining treatments and life-sustaining procedures

   

 Consent to perform CPR

2 (1.0)

0 (0.00)

0.226

 Consent to perform intubation

10 (5.1)

11 (5.1)

0.995

 Consent to perform CRRT

27 (13.9)

19 (8.8)

0.109

 Consent for ICU admission

13 (6.7)

5 (2.3)

0.032

Survival at discharge

56 (28.7)

96 (44.2)

0.001

  1. Data are presented as the median (Q1, Q3) for continuous variables and number (%) for categorical variables
  2. LST Life-Sustaining-Treatment, CPR cardiopulmonary resuscitation, CRRT continuous renal replacement therapy, ICU intensive care unit, ER emergency room, OPD outpatient department