Evolution of end-of-life care at United States hospitals in the new millennium

Journal of Palliative Medicine
Robert Y LinBrian C Scanlon

Abstract

To examine the characteristics of United States hospitalizations that result in hospice transfers including the clinical and demographic features, and to determine distinctive factors associated with discharges to hospice (DTH). The National Inpatient Sample (NIS) databases for 2000-2009 were queried for hospitalizations which resulted in transfers to hospice and expiration in the hospital. Yearly totals, as well as demographic and clinical features were tabulated for DTH hospitalizations. These characteristics were also compared with hospitalizations that ended with expiration using multivariate regression. The number of DTH per year increased 15 fold from 27,912 in 2000 to 420,882 in 2009. The median hospital stay decreased, while the median age, proportion of sepsis disease related groups (DRGs), and proportion of Medicare hospitalizations increased. Lung, gastrointestinal, hepato-biliary, and brain cancer were consistently the most prevalent malignancy DRGs. However, the initial preponderance of hospitalizations with any diagnosis of cancer was diminished by the end of the study. The adjusted odds ratio (95%CI) for the prediction of DTH (compared to hospital death) by any diagnosis of cancer decreased from 3.61 (3.52-3.71) ...Continue Reading

References

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Citations

Sep 19, 2015·Clinical Genitourinary Cancer·Michaela A DinanShelby D Reed
Jun 11, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Robert Y LinTruc Phuong Thanh Nguyen
Apr 15, 2015·Journal of Social Work in End-of-life & Palliative Care·Beverly Rosa WilliamsKathryn L Burgio
Jun 28, 2016·Personality & Social Psychology Bulletin·Ilona FridmanE Tory Higgins
Apr 15, 2014·The American Journal of Hospice & Palliative Care·George E Dickinson, Elizabeth S Paul
Mar 13, 2016·The American Journal of Hospice & Palliative Care·George E Dickinson
Nov 8, 2013·The American Journal of Hospice & Palliative Care·Elizabeth WechterBarbara J Daly
May 15, 2012·Journal of Palliative Medicine·Charles F von Gunten
Mar 14, 2020·Journal of Healthcare Management / American College of Healthcare Executives·Christa A SchorrR Phillip Dellinger

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