List of n-grams from seed phrases (“ceiling of care”, “withdrawal of care”, “limit of care”, “palliative treatments only”, “palliative care only”, “end of life care”, “liverpool care pathway”, “not for intubation”, “not for itu”, “not for critical care”)
Not for cpr | Ceilings of care | Ward base | Family discussions |
Ward based | Not for resuscitation | dnar not | Futility |
Ward based ceiling of care | Ceiling of care | Escalation beyond | Organ donation |
Escalation of care | Not for icu | dnacpr | Brainstem death |
Not for itu | Not for niv | dnacpr and | Stem testing |
Not for escalation | dnar and | dnar | Discussions with the family |
Escalation and | Ceiling of treatment | Brainstem testing | Unsurvivable |
Not for intubation | Resuscitation as | Withdrawal of intensive | Candidate for itu |
Ward-based care only | Resusciation | Withdrawal of treatment | Ceilings of treatment |
Not for resus | Palliation | Family discussion | Candidate for intubation |
The acronyms identified from this approach were easily interpreted by an experienced clinician: “rx”=treatment; “eolc”=end of life care; “itu”=intensive therapy unit; “icu”=intensive care unit; “hdu”=high dependency unit; “dnacpr” for do not attempt cpr; “niv”=non-invasive ventilation.