Abstract
Myocardial infarction (MI) remains a leading cause of mortality. Palliative care (PC) has recently expanded in scope to include noncancer-related conditions. There is little data available regarding the use of PC in critical MI patients. We used discharge data from the National Inpatient Sample for the years 2012 to 2014. We examined discharges with a primary diagnosis of MI. We measured the rate of PC referral, trend in utilization during the study period and possible predictors of PC utilization. Among 1 667 520 discharges of those patients ≥18 years of age and with a primary diagnosis of MI, use of PC was seen in 2.5% of all patients and in 24% of patients who died. In a multivariable logistic regression, we found the presence of cancer, cardiogenic shock, dementia, stroke, hemiplegia, the use of circulatory support, and mechanical ventilation were associated with higher likelihood of PC referral. Palliative care referral increased during the study period, odds ratio of 1.18 per year (95% confidence interval: 1.14-1.21; P value <.001). Palliative care was not associated with prolonged length of stay. Several comorbidities were associated with the use of PC, most notably the use of mechanical ventilation and the presence of m...Continue Reading
References
Feb 1, 1992·American Journal of Public Health·E S FisherD C Hsia
Oct 10, 2007·Heart·M SinghD R Holmes
Sep 6, 2013·Journal of Palliative Medicine·Helene StarksJ Randall Curtis
Jan 5, 2014·Journal of the American Heart Association·Dio KavalieratosMorris Weinberger
Aug 15, 2014·Journal of the American Geriatrics Society·Han-Yang ChenRobert J Goldberg
Dec 4, 2014·The Lancet. Respiratory Medicine·Irene J HigginsonJohn Moxham
Mar 4, 2015·BMJ Open·Paul ErneUNKNOWN AMIS Plus Investigators
Aug 20, 2015·The New England Journal of Medicine·Amy S Kelley, R Sean Morrison
Oct 27, 2015·Journal of Cancer Research and Clinical Oncology·Achuta Kumar GuddatiGagan Kumar
Jul 9, 2016·Chest·Barret RushLeo Anthony Celi
Aug 6, 2016·Journal of the American College of Cardiology·Robert L McNamaraJohn A Spertus
Dec 8, 2016·Journal of Palliative Medicine·May HuaHannah Wunsch
Jul 15, 2017·Circulation. Cardiovascular Quality and Outcomes·Rohan Khera, Harlan M Krumholz
Jul 26, 2017·Journal of Internal Medicine·K WiskarB Rush
Aug 23, 2017·The American Journal of Hospice & Palliative Care·Katie J WiskarBarret Rush
Dec 20, 2017·The American Journal of Hospice & Palliative Care·Shelli L FederKathleen M Akgün
Jan 18, 2018·Resuscitation·Aiham AlbaeniShaker M Eid
Feb 2, 2018·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Mar 28, 2018·Journal of Pain and Symptom Management·Fahad SaeedPaul R Duberstein
May 2, 2018·JAMA Internal Medicine·Peter MayR Sean Morrison
Aug 31, 2018·The American Journal of Hospice & Palliative Care·Brijesh PatelRon Freudenberger
Sep 20, 2018·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Ahmed SubahiTamam Mohamad
Citations
Jun 16, 2021·Circulation·Abdulla A DamlujiUNKNOWN American Heart Association Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Cou
Jul 20, 2021·Neuro-oncology Practice·Meghan PriceC Rory Goodwin
Jan 19, 2022·Circulation. Cardiovascular Quality and Outcomes·Leila HaghighatNihar R Desai