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Comparison of Early Versus Late Palliative Care Consultation in End-of-Life Care for the Hospitalized Frail Elderly Patients

被引：17
|
作者：
Reyes-Ortiz, Carlos A. [1 ,2 ]
Williams, Christopher [3 ,4 ]
Westphal, Christine [5 ]
机构：
[1] Georgia State Univ, Inst Gerontol, Atlanta, GA 30303 USA
[2] Univ Texas Houston, Sch Med, Dept Internal Med, Div Geriatr & Palliat Care, Houston, TX USA
[3] Wayne State Univ, Oakwood Hosp, Geriatr & Internal Med, Dearborn, MI USA
[4] Wayne State Univ, Med Ctr, Dearborn, MI USA
[5] Oakwood Hosp & Med Ctr, Oakwood Healthcare Syst Palliat Care Serv, Dearborn, MI USA
来源：
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2015年 / 32卷 / 05期
关键词：
palliative care; consultation; frail elderly patients; length of stay; discharge destination; hospice; RANDOMIZED CONTROLLED-TRIAL; STAY; UNIT;
D O I：
10.1177/1049909114530183
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：
To examine the effects of early palliative care (PC; EPC; 3 days after admission) consultation versus late PC (>3 days) on number of days from day of consult to discharge (DCDAYS), a retrospective review of PC data (2009-2012) included 531 patients with age 65 and Palliative Performance Scale 50. Early PC was independently associated with lower DCDAYS (P = .019). Persons admitted to hospice (P = .010) as well as those discharged to home (P = .003) and subacute rehabilitation (SAR; P = .015) were more likely to have an EPC compared to those who died. Admitting to hospice was associated with lower DCDAYS than discharging to long-term acute care (P < .001) or SAR (P < .001). Early PC resulted in lower DCDAYS, fewer inpatient deaths, and higher hospice admissions. Hospice resulted in fewer DCDAYS.
引用
收藏
页码：516 / 520
页数：5
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