This study aimed to analyse any differences regarding limitations of life-sustaining treatment (LLST) in hospitalized patients with COVID-19 among three hospitals in a Swedish healthcare region during the first year of the pandemic. All patients hospitalized with SARS-CoV-2 and COVID-19 from March 15th, 2020 to March 14th, 2021 were retrospectively analysed. A total of 1 819 patients were included and 546 (30 percent) patients had a documented decision about LLST. After adjusting for age, comorbidities and body mass index in a multivariable logistic regression model, there was no significant difference in the ratio of patients with LLST among the hospitals in the region. The physicians' assessments regarding this important decision are similar across units regionally. Further involvement of patients and their relatives in these decisions is warranted.
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