Impact of Palliative Care on Resource Utilization and Quality in the Care of Patients Undergoing Therapeutic Hypothermia

Therapeutic Hypothermia and Temperature Management
Jennifer AllenElke Rockwell

Abstract

Few studies have been done assessing the impact of palliative care on patients suffering cardiac arrest and requiring therapeutic hypothermia (TH). We conducted a retrospective cohort study to compare resource utilization and quality indicators among patients undergoing TH with and without palliative care consultation. Data were collected, over a two-year period, from the institutional international cardiac arrest registry database and electronic medical record review. One hundred twenty-nine patients were screened, 102 met inclusion criteria. Sixty-four patients (63%) had a palliative care consult. None of the differences between the groups' prehospital clinical characteristics were significant (functional status p = 0.29; cerebral performance (CPC) score p = 0.16). The overall mortality rate of participants was 53%, with a rate of 47% for the nonpalliative care group and 56% of the palliative care group (p = 0.38). There was a decrease in resource utilization in the palliative care group, with discontinuation in lab tests showing significance (p = 0.04). All quality indicators were addressed more frequently in the palliative care group (p = < 0.0001). More patients in the palliative care group (56%) than in the nonpalliative ...Continue Reading

References

May 15, 2003·JAMA : the Journal of the American Medical Association·June R LunneyJack M Guralnik
Jul 16, 2003·Resuscitation·Jerry P NolanUNKNOWN Advancement Life support Task Force of the International Liaison committee on Resuscitation
May 29, 2007·Journal of Pain and Symptom Management·Betty FerrellUNKNOWN National Consensus Project for Quality Palliative Care Task Force Members
Sep 10, 2008·Archives of Internal Medicine·R Sean MorrisonUNKNOWN Palliative Care Leadership Centers' Outcomes Group
Sep 23, 2009·Critical Care Medicine·Peter A MeaneyRobert A Berg
Aug 18, 2010·Journal of Palliative Medicine·Margaret L Campbell
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Mar 9, 2011·Health Affairs·R Sean MorrisonDiane E Meier
Jan 30, 2013·JAMA Internal Medicine·Jaclyn YoongJennifer S Temel
Jul 3, 2013·Respiratory Medicine·Kim BeernaertLieve Van den Block
Jul 1, 2016·Journal of the American Heart Association·Brittany M BogleDonald M Lloyd-Jones
Dec 3, 2016·Journal of Palliative Medicine·Michelle S DiopL Michal Skarf
May 2, 2018·JAMA Internal Medicine·Peter MayR Sean Morrison

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