The Korean Journal of Hospice and Palliative Care

MK-POLST and Implementation Discordance Rate.

POLST items Total N (%) Received Kappa value*

No (%) Yes (%)
CPR and ventilator 295 (100.0) 0 (0)
 Unwanted 288 (97.6) 288 (100.0) 0 (0)
 Want 1 (0.3) 1 (100.0) 0 (0)
 Delegated to the physician 6 (2.0) 6 (100.0) 0 (0)
Antibiotics 54 (18.3) 241(81.7) 0.319
 Unwanted 38 (12.9) 8 (21.1) 30 (78.9)
 Wanted if a chance of recovery 192 (65.1) 35 (18.2) 157 (81.8)
 Delegated to the physician 65 (22.0) 11 (16.9) 54 (83.1)
Parenteral nutrition 29 (9.8) 266 (90.2) 0.246
 Unwanted 13 (4.4) 2 (15.4) 11 (84.6)
 Wanted if a chance of recovery 130 (44.1) 5 (3.8) 125 (96.2)
 Delegated to the physician 152 (51.5) 22 (14.5) 130 (85.5)
Pressor agents 273 (92.5) 22 (7.5) 0.123
 Unwanted 226 (76.9) 214 (94.7) 12 (5.3)
 Wanted if a chance of recovery 23 (7.8) 17 (73.9) 6 (26.1)
 Delegated to the physician 46 (15.3) 42 (91.3) 4 (8.7)
Palliative sedation 176 (59.7) 119 (40.3) 0.494
 Unwanted 5 (1.7) 3 (60.0) 2 (40.0)
 Continuous sedation 8 (2.7) 1 (12.5) 7 (87.5)
 Intermittent sedation 269 (91.2) 164 (61.0) 105 (39)
 Delegated to the physician 13 (4.4) 8 (61.5) 5 (38.5)
Kappa for unwanted vs wanted,
Incalculable due to no patients in CPR-received group.
Korean J Hosp Palliat Care 2019;22:198~206 https://doi.org/10.14475/kjhpc.2019.22.4.198
© Korean J Hosp Palliat Care