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Impact of home-based pediatric palliative care on hospital and emergency department utilization at a single institution

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BOWER, Kimberly A. | LAU, Megan | SHORT, Robin | LAWRENCE, Stephanie | BEAUCHAMP-WALTERS, Julia | MARC-AURELE, Krishelle

Background: There is limited data on home-based pediatric palliative care (PPC) demographics and utilization outcomes. Objective: Describe who receives home-based PPC and compare emergency department visits, hospital admissions, and hospital days admitted in the one year before and after initiation of home-based PPC. Design: Exploratory retrospective medical chart review. Settings/Subjects: Patients, from birth to their 21st birthday, who received home-based PPC during January 1, 2015 to July 31, 2016 at a single site. Measurements: Demographics and hospital utilization were extracted from the medical chart. Results: N = 154. Comparing one year before and after initiation of home-based PPC, the median number of hospitalizations decreased from 2 to 1 (p < 0.001), and the median total number of hospital days admitted decreased from 16 to 4 days (p < 0.001). Conclusions: Children enrolled in a home-based PPC program experienced a significant decrease in the number of hospital admissions and hospital days admitted.

http://dx.doi.org/10.1089/jpm.2021.0307

Voir la revue «JOURNAL OF PALLIATIVE MEDICINE, 25»

Autres numéros de la revue «JOURNAL OF PALLIATIVE MEDICINE»

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