Abstract
While 1 in 10 older patients hospitalized with heart failure (HF) die within 30 days, end-of-life care for this population is not well described. To assess rates of discharge to hospice, readmission after hospice, and survival in hospice in patients following hospital discharge. In this observational cohort analysis of patients in the multicenter American Heart Association Get With The Guidelines (GWTG)-HF registry linked to Medicare fee-for-service claims data, we analyzed patients 65 years and older discharged alive from the hospital between 2005 and 2014. We compared 4588 patients discharged to hospice with 4357 patients with advanced HF (ejection fraction ≤25% and any of the following: inpatient inotrope use, serum sodium level ≤130 mEq/L, blood urea nitrogen level ≥45 mg/dL [to convert to micromoles per liter, multiply by 0.357], systolic blood pressure ≤90 mm Hg, or comfort measures during hospitalization) not discharged to hospice and with 113 045 other patients with HF in the GWTG-HF registry. Data were analyzed from October 2017 to June 2018. Discharge to hospice, rehospitalization, and mortality. Of the 4588 patients discharged to hospice, 2556 (55.7%) were female and 4047 (88.2%) were white, and they had a median (in...Continue Reading
References
Oct 30, 2004·American Heart Journal·Lynn A Smaha, UNKNOWN American Heart Association
Nov 5, 2008·Journal of Palliative Medicine·Ronald S SchonwetterSehwan Kim
May 26, 2009·American Heart Journal·Bradley G HammillLesley H Curtis
Oct 8, 2011·Stroke; a Journal of Cerebral Circulation·Mathew J ReevesLee H Schwamm
May 29, 2012·Journal of Cardiac Failure·David J WhellanGregg C Fonarow
Jun 13, 2014·Journal of Palliative Medicine·Pamela S HarrisDavid Casarett
Jun 17, 2014·Journal of Palliative Medicine·Lindsay R RothenbergGrace Cordts
Jul 24, 2014·BMJ Open·Elizabeth Barnett PathakBenjamin Djulbegovic
Nov 7, 2014·Medical Care·Melissa D AldridgeElizabeth H Bradley
Dec 6, 2014·Journal of Palliative Medicine·Abbey C SidebottomArthur Sillah
May 29, 2015·Circulation. Heart Failure·Raya E KheirbekAli Ahmed
Jan 16, 2016·Palliative Medicine·Haider Javed WarraichRobb D Kociol
Jul 20, 2016·JAMA Cardiology·Anant MandawatDeepak L Bhatt
Mar 16, 2017·Circulation. Heart Failure·Cindi K YimLaura P Gelfman
Jul 15, 2017·Journal of the American College of Cardiology·Joseph G RogersJames A Tulsky
Sep 2, 2017·Journal of the American College of Cardiology·Haider J WarraichLarry A Allen
Nov 13, 2017·JAMA Cardiology·Ankur GuptaGregg C Fonarow
Nov 17, 2017·Journal of the American College of Cardiology·Kevin S ShahGregg C Fonarow
Citations
Oct 13, 2018·Journal of Palliative Medicine·Haider Javed WarraichRobert J Mentz
Nov 18, 2018·Clinical Cardiology·Fahad AlqahtaniMohamad Alkhouli
Jan 25, 2019·Circulation·Mark McClellanJohn J Warner
Mar 30, 2019·The American Journal of Hospice & Palliative Care·Lee BurnsideStephanie G Cooper
Dec 13, 2019·Clinical Cardiology·Mark F Sullivan, James N Kirkpatrick
Jun 11, 2019·Cardiac Failure Review·Sarah H CrossHaider J Warraich
Jan 30, 2020·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Sep 13, 2019·Journal of Palliative Medicine·Thuy CaoKy Stoltzfus
Oct 11, 2019·Journal of Palliative Medicine·Shunichi NakagawaCraig D Blinderman
Dec 29, 2018·European Journal of Heart Failure·Ravi B PatelMuthiah Vaduganathan
Dec 4, 2019·Current Heart Failure Reports·Sarah ChuziHaider J Warraich
May 6, 2019·JAMA Network Open·Haider J WarraichArif H Kamal
Feb 19, 2019·The American Journal of Hospice & Palliative Care·Raya Elfadel KheirbekHans J Moore
Feb 16, 2020·Circulation. Heart Failure·Sarah ChuziSadiya S Khan
Oct 6, 2020·The American Journal of Hospice & Palliative Care·Richard PhamGavin W Hickey
Jan 28, 2021·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Sep 16, 2020·Journal of Pain and Symptom Management·Shelli L FederKathleen M Akgün
Aug 31, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Muhammad Zia KhanMuhammad Bilal Munir
May 14, 2021·American Heart Journal·Christopher S GrubbMaryjane Farr
May 28, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Rebecca N HutchinsonKathleen Fairfield
Jul 21, 2021·Journal of Palliative Medicine·Mathias SchlöglChristopher A Jones
Oct 27, 2021·Folia Microbiologica·Khalid MehmoodM A Kamal
Oct 28, 2021·Journal of Palliative Medicine·Varun JainNandakumar Nagaraja
Sep 6, 2020·Heart Failure Clinics·Prateeti Khazanie, Larry A Allen
Dec 30, 2021·Journal of Palliative Medicine·Claire K AnkudaMelissa D Aldridge