Abstract
Key summary pointsAimWe examined the frequency of different decisions, including eating and drinking with acknowledged risks (EDAR) in a single-institution retrospective study of older people with pneumonia and swallowing difficulties.FindingsEDAR decisions were made in only a small fraction of patients (less than one fourth of patients on a modified diet). Most EDAR decisions were for end-of-life comfort care, and patients for EDAR had a significantly higher mortality despite the pneumonia recurrence rate not differing significantly. MessageThe reasons underlying the relatively low frequency of EDAR decisions compared to modified diet needs to be investigated to maximise patient autonomy and comfort while minimising staff burden.
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