Afficher la couverture 'Early palliative intervention in septic patients reduces healthcare utilization | MANFREDI, Rita A.' en grand format
/5

0 avis

Early palliative intervention in septic patients reduces healthcare utilization

Article indépendant

MANFREDI, Rita A. | TREVINO, Jesus | YAN, Florence | RAHIMI, Murwarit | SHAPIRO, Evan | GHAREHDAGHI, Pouya | POURMAND, Ali

INTRODUCTION: While the role of palliative care in the emergency department is recognized, barriers against the effective integration of palliative interventions and emergency care remain. We examined the association between goals-of-care and palliative care consultations and healthcare utilization outcomes in older adult patients who presented to the emergency department (ED) with sepsis. METHODS: We performed a retrospective review of 197 patients aged 65 years and older who presented to the ED with sepsis or septic shock. Healthcare utilization outcomes were compared between patients divided into 3 groups: no palliative care consultation, palliative care consultation within 4 days of admission (i.e., early consultation), and palliative care consultation after 4 days of admission (i.e., late consultation). RESULTS: 51% of patients did not receive any palliative consultation, 39% of patients underwent an early palliative care consultation (within 4 days), and 10% of patients underwent a late palliative care consultation (after 4 days). Patients who received late palliative care consultation had a significantly increased number of procedures, total length of stay, ICU length of stay, and cost (p < .01, p < .001, p < .05, p < .001; respectively). Regarding early palliative care consultation, there were no statistically significant associations between this intervention and our outcomes of interest; however, we noted a trend towards decreased total length of stay and decreased healthcare cost. CONCLUSION: In patients aged 65 years and older who presented to the ED with sepsis, early palliative consultations were associated with reduced healthcare utilization as compared to late palliative consultations.

http://dx.doi.org/10.1016/j.ajem.2021.09.075

Voir la revue «The American journal of emergency medicine, 50»

Autres numéros de la revue «The American journal of emergency medicine»

Consulter en ligne

Suggestions

Du même auteur

Care conundrum in the emergency department : ...

Article indépendant | MANFREDI, Rita A. | The international journal of health planning and management

OBJECTIVES: Clinicians in the emergency department (ED) frequently encounter seriously ill patients at a time when advance directives may be pivotal in improved clinician decision-making. The objectives of this study were to ident...

De la même série

Association between advanced care planning an...

Article indépendant | SAKAMOTO, Ayaka | The American journal of emergency medicine | vol.68

BACKGROUND: Advance care planning can help provide optimal medical care according to a patient's wishes as a part of patient-centered discussions on end-of-life care. This can prevent undesired transfers to emergency departments. ...

A missed opportunity in the ED : palliative c...

Article indépendant | BRIGHT, Leah | The American journal of emergency medicine | vol.51

STUDY HYPOTHESIS: Although Emergency Medicine has recognized Palliative Care (PC) as an important aspect of Emergency Medicine, the importance of integrating palliative care into standard practice is underscored by the data that m...

Early palliative intervention in septic patie...

Article indépendant | MANFREDI, Rita A. | The American journal of emergency medicine | vol.50

INTRODUCTION: While the role of palliative care in the emergency department is recognized, barriers against the effective integration of palliative interventions and emergency care remain. We examined the association between goals...

Chargement des enrichissements...