Trends and Predictors of Palliative Care Referrals in Patients With Acute Heart Failure

The American Journal of Hospice & Palliative Care
Brijesh PatelRon Freudenberger

Abstract

To determine the rate and predictors of palliative care referral (PCR) in hospitalized patients with acute heart failure (AHF). The PCR is commonly utilized in terminal conditions such as metastatic cancers. There is no data on trends and predictors from large-scale registry of general population regarding PCR in patients with AHF. For this retrospective study, data were obtained from National Inpatient Sample Database from 2010 to 2014. We used International Classification of Diseases, Ninth Revision diagnosis codes to identify cases with a principle diagnosis of AHF. These patients were divided into 2 groups: (1) PCR, (2) no PCR groups. We performed multivariate analysis to identify predictors of PCRs, as well as reported PCR trends from 2010 to 2014. From the database, out of 37 312 324 hospitalizations, 621 947 unweighted cases with primary diagnosis of AHF were selected for further analysis. About 2.8% received PCR. From 2010 to 2014, there was an uptrend from 2.0% to 3.6% for PCR. Metastatic cancer, ventilator-dependent respiratory failure, and cardiogenic shock were strongly associated with PCR. Those who underwent percutaneous coronary intervention and African American or other races were negative predictors for PCR. In...Continue Reading

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Citations

Aug 8, 2019·Journal of the American Society of Nephrology : JASN·Yumeng WenLili Chan
Mar 7, 2019·The American Journal of Hospice & Palliative Care·Abbas HeydariAhmad Bagheri Moghaddam
Feb 26, 2019·The American Journal of Hospice & Palliative Care·Abdullah Sayied AbdullahRichard Alweis
Nov 11, 2020·International Journal of Cardiology·Javier Fernández-MartinezUNKNOWN EPICTER Investigators group
Dec 11, 2020·International Journal of Cardiology·Hiroyuki Takahama, Chisato Izumi
Nov 3, 2020·Journal of Pain and Symptom Management·Sarah GodfreyShunichi Nakagawa
Jul 23, 2021·The American Journal of Hospice & Palliative Care·Leonard L SokolHillary D Lum
Sep 11, 2021·Circulation·Alanna A MorrisUNKNOWN American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology; Council on Art

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Methods Mentioned

BETA
PCR
PCRs

Software Mentioned

ADHERE
CCS Clinical Classifications Software
ESCAPE
SPSS

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