Association Between Patient-Reported Engagement and Medical Record of Advance Care Planning Among Older Adults in the ED: A Cross Sectional Study

Nanako Shirai, Tadayuki Hashimoto, Sho Fukui, Upeka Samarakoon, Gabriel Paasche-Orlow, Seth N. Randa, Yuchiao Chang, Charlotta Lindvall, Katren R. Tyler, Hacho B. Bohossian, Kate R. Sciacca, Karina Klein, Allyson C, Donovan Nielsen, Eric Hanson, Milton Joel, Timothy F. Platts-Mills, Angelo Volandes, Kei Ouchi, Harvard Medical School, Department of Emergency Medicine, Brigham and Women, s Hospital, General Medicine, Osaka Medical and Pharmaceutical University, Department of Medicine, Brigham and Women, s Hospital and Harvard Medical School, Department of Emergency and General Medicine, Kyorin University School of Medicine, Department of Medicine, Massachusetts General Hospital, School of Medicine, University of California San Francisco, San Francisco, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Department of Emergency Medicine, Davis School of Medicine, University of California, Newton-Wellesley Hospital, Department of Medicine, Brigham and Women, s Hospital, Corte Madera, ACP Decisions

American Journal of Hospice and Palliative Medicine®

Published online on December 08, 2025

Abstract

American Journal of Hospice and Palliative Medicine®, Ahead of Print.
BackgroundMost older adults in the U.S. visit the emergency department (ED) in their final 6 months of life, providing an opportunity to engage patients in advance care planning (ACP) conversations (ie, a process to formulate and communicate preferences ...