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0%) patients with MOLST. Surgery was elective or non-urgent for 362 (90%), and median length of stay [Q1, Q3] was 5.1 days [1.9, 9.9]. The minority of patients with preoperative MOLST were discharged home (169 [42%]), and 103 (25.6%) patients were readmitted within 30 days. Patients with preoperative MOLST had a 30-day mortality of 9.2% (37 patients) and cumulative 90-day mortality of 14.9% (60 patients). Fewer than half of surgical patients with preoperative MOLST have documented code status discussions before surgery. Given their high

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