Surgical Versus Medical Team Assignment and Secondary Palliative Care Services for Patients Dying in a Cardiac Hospital

The American Journal of Hospice & Palliative Care
Benjamin GandesberyEiran Z Gorodeski

Abstract

Secondary palliative care (SPC) provides several benefits for patients with cardiovascular disease, but historically, it has been underutilized in this population. Prior research suggests a low rate of SPC consultation by surgical teams in general, but little is known about how surgical teams utilize SPC in the setting of severe cardiovascular disease. To determine if surgical team assignment affects the probability of SPC for inpatients dying of cardiovascular disease. Retrospective, cohort study. We identified all inpatients at a large cardiac hospital who had anticipated death under the care of a cardiology, cardiac surgery, or vascular surgery team in 2016. Our primary outcome was referral to SPC, including palliative medicine consultation or inpatient hospice care. Informed by univariate analysis, we created a multivariable logistic regression model, the significance of which was assessed with the Wald test. Two hundred thirty-seven patients were included in our analysis: 93 (39%) received SPC and 144 (61%) were "missed opportunities." Secondary palliative care was less frequent in patients assigned to a surgical, versus medical, team (11% vs 47%, P < .001). On multivariate analysis, surgical versus medical team assignment...Continue Reading

References

Feb 20, 2002·JAMA : the Journal of the American Medical Association·Charles F von Gunten
May 23, 2002·Journal of the American College of Surgeons·Timothy G BuchmanMurray L Wax
Jan 14, 2004·Psychological Science·H J KeselmanKatherine Fradette
Sep 21, 2005·Archives of Surgery·Joseph M GalanteRichard J Bold
Feb 12, 2009·Journal of Palliative Medicine·Aaron M OldenSusan Ladwig
Dec 23, 2009·Circulation·Eric D AdlerDiane E Meier
Dec 16, 2011·Journal of the American College of Surgeons·Luise I M PernarZara R Cooper
Mar 14, 2013·Journal of Cardiac Failure·Marie BakitasAlan Kono
Jul 30, 2014·Journal of Palliative Medicine·Daniel T GreenerRobert E Gramling
Jan 8, 2015·Annals of Surgery·Michael J NaboznyMargaret L Schwarze
Dec 3, 2016·Journal of Palliative Medicine·Michelle S DiopL Michal Skarf
Aug 23, 2017·The American Journal of Hospice & Palliative Care·Katie J WiskarBarret Rush
Sep 7, 2017·The American Journal of Hospice & Palliative Care·Benjamin GandesberyEiran Z Gorodeski
Nov 4, 2017·Journal of Palliative Medicine·Faiz GaniFabian M Johnston
Dec 10, 2017·Journal of Pain and Symptom Management·Pasithorn A SuwanabolArden M Morris
Dec 7, 2018·BMJ : British Medical Journal·Joseph F CosgroveUNKNOWN End of Life Working Party, Faculty of Intensive Care Medicine

❮ Previous
Next ❯

Citations

Aug 18, 2021·Annals of Vascular Surgery·Mimmie KwongMatthew W Mell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Melissa J TianElizabeth A Schlenk
© 2022 Meta ULC. All rights reserved