Trends in Palliative Care Utilization in Deceased Veterans With Heart Failure

被引：1
|
作者：
Wice, Mitchell [1 ,2 ,3 ,5 ,6 ]
Rudolph, James L. [1 ,3 ,4 ,5 ]
Jiang, Lan [1 ]
Edmonson, Hal M. [5 ]
Page, John S. [5 ]
Wu, Wen Chih [1 ,3 ]
Defillo-Draiby, Julio [1 ,2 ,3 ,5 ]
机构：
[1] Providence VA Med Ctr, Ctr Innovat Long Term Care Serv & Support, Providence, RI USA
[2] Providence VA Healthcare Syst, Geriatr & Extended Care, Providence, RI USA
[3] Brown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
[4] Brown Univ, Sch Publ Hlth, Ctr Gerontol & Hlth Care Res, Providence, RI USA
[5] Brown Univ, Warren Alpert Med Sch, Providence, RI USA
[6] Providence VA Med Ctr, Geriatr & Extended Care, 830 Chalkstone Ave, Providence, RI 02908 USA
来源：
PALLIATIVE MEDICINE REPORTS | 2023年 / 4卷 / 01期
关键词：
advanced care planning; death; end of life care; heart failure; palliative care; QUALITY-OF-LIFE;
D O I：
10.1089/pmr.2023.0067
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Background: Specialist-level palliative care in the final days does not allow time to alleviate symptoms and suffering. This analysis examined the change in the time from initial specialty-level palliative care to death among Veterans with heart failure. Methods: This retrospective cohort study examined Veterans with a diagnosis of heart failure (HF) who died between 2011 and 2021. We examined the decedents from each year as a separate cohort. The primary outcome was time from specialty-level palliative care (SPC) encounter to death in the year death occurred. Results: Of the cohort (n = 232,079), 56.5% did not receive SPC. Specialist-level palliative care >90 days before death more than doubled from 10.1% (2011) to 26.2% (2021), and Specialist-level palliative care in the last day of life was cut from 2.5% to 0.9%. Conclusion: For Veterans with HF, specialist-level palliative care moved earlier in the disease course and has a substantial growth opportunity.
引用
收藏
页码：344 / 349
页数：6
相关论文
共 50 条
  • [1] Utilization of Palliative Care in Veterans Admitted With Heart Failure Experiencing Homelessness
    Gula, Annie Laurie
    Ramos, Jacob
    Simpson, Jane M.
    Jiang, Lan
    Martin, Edward
    Wice, Mitchell
    Erqou, Sebhat
    Wu, Wen-Chih
    Rudolph, James L.
    [J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2022, 64 (05) : 471 - 477
  • [2] Trends In Utilization of Palliative Care In Acute Heart Failure Admissions
    Lone, Ahmad Naeem
    Khan, Muhammad Zia
    Khan, Muhammad U.
    Khan, Safi
    Balla, Sudarshan
    [J]. JOURNAL OF CARDIAC FAILURE, 2020, 26 (10) : S51 - S51
  • [3] Trends in Palliative Care Use in Veterans With Severe Heart Failure Using a Large National Cohort
    Mandawat, Anant
    Heidenreich, Paul A.
    Mandawat, Aditya
    Bhatt, Deepak L.
    [J]. JAMA CARDIOLOGY, 2016, 1 (05) : 616 - 619
  • [4] UTILIZATION OF PALLIATIVE CARE CONSULTS IN PATIENTS WITH HEART FAILURE
    Singanallur, Prashanth
    Al-Khadra, Yasser
    Deshpande, Radhika
    Al-bast, Basma
    Missula, Venkata
    Abdu, Manasik
    Albast, Nour
    Al Tamimi, Raad
    Kulkarni, Abhishek
    Potu, Kalyan
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (18) : 602 - 602
  • [5] PALLIATIVE CARE UTILIZATION TRENDS AND ASSOCIATED OUTCOMES IN PATIENTS WITH ACUTELY DECOMPENSATED HEART FAILURE WITH PRESERVED EJECTION FRACTION
    Latif, Zara
    Hassan, Shahzad
    Makuvire, Tracy
    Mehta, Shivani
    Lopez, Jose L.
    Qureshi, Waqas
    Warraich, Haider
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2024, 83 (13) : 390 - 390
  • [6] Trends in Palliative Care in Inpatient Advanced Heart Failure After Initiation of a Dedicated Palliative Care Team
    Chandrasekhar, M. A.
    Mohammad, S.
    Walker, K.
    Ruiz, G.
    Groninger, H.
    [J]. JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2017, 36 (04): : S213 - S213
  • [7] Palliative Care Utilization in Patients With Heart Failure With Preserved Ejection Fraction
    Hassan, Shahzad
    Latif, Zara
    Makuvire, Tracy
    Lopez, Jose
    Godfrey, Sarah
    Lala, Anuradha
    Warraich, Haider J.
    [J]. JACC-HEART FAILURE, 2024, 12 (09) : 1643 - 1644
  • [8] Barriers to Early Utilization of Palliative Care in Heart Failure: A Narrative Review
    Romano, Massimo
    [J]. HEALTHCARE, 2020, 8 (01)
  • [9] Trends and Predictors of Palliative Care Referrals in Patients With Acute Heart Failure
    Patel, Brijesh
    Secheresiu, Paul
    Shah, Mahek
    Racharla, Lekha
    Alsalem, Ahmad B.
    Agarwal, Manyoo
    Tripathi, Byomesh
    Sablani, Naveen
    Garg, Lohit
    Patil, Shantanu
    Islam, Nauman
    Ray, Daniel
    Ogunniyi, Modele O.
    Freudenberger, Ron
    [J]. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2019, 36 (02): : 147 - 153
  • [10] Trends, Predictors and Outcomes in Heart Failure Patients undergoing Palliative Care
    Gupta, Navdeep
    Shahreyar, Muhammed
    Muppidi, Vijayadershan
    Gaglianello, Nunzio
    Papp, Mary A.
    Cinquegrani, Michael P.
    [J]. CIRCULATION, 2014, 130
12345