Utilization of Hospice Care in Patients With Acute Ischemic Stroke

The American Journal of Hospice & Palliative Care
Nabeel ChauhanArchana Hinduja

Abstract

A significant percentage of terminally ill patients are discharged to hospice care following a devastating stroke. We sought to determine the factors associated with hospital discharge to hospice care in a large cohort of patients with stroke. Using the institutional Get With The Guidelines-Stroke database, all consecutive patients with acute ischemic stroke (AIS) who were alive at discharge, from January 2009 until July 2015, were analyzed. Univariate and multivariable statistical analyses were performed to determine the factors associated with discharge to hospice care. Of 2446 patients with AIS, 3.4% died and were excluded of remaining 2363 patients, and 4.2% were discharged to hospice care. Univariate analysis identified patients who were discharged to hospice care to be older, caucasian, Medicare or private insurance, have atrial fibrillation, heart failure and less often had diabetes mellitus or smoked. Altered mentation at presentation and urinary tract infection were more common in patients discharged to hospice. On multivariable analysis, patients transferred to hospice care were older (odds ratio [OR]: 1.04, 95% confidence interval [CI]: 1.01-1.07; P < .001), had a high National Institute of Health Stroke Scale (NIHSS...Continue Reading

References

Jan 7, 2004·Critical Care Medicine·Brett L CucchiaraUNKNOWN CLASS-I Investigators
Aug 11, 2005·JAMA : the Journal of the American Medical Association·Robert G HollowayJustine B Zentner
Nov 22, 2008·Journal of Palliative Medicine·Amanda E duPreezAmy J H Kind
Nov 12, 2009·Topics in Stroke Rehabilitation·Richard D ZorowitzMarianne Laouri
Feb 24, 2010·Circulation. Cardiovascular Quality and Outcomes·Gregg C FonarowUNKNOWN GWTG-Stroke Steering Committee and Investigators
Apr 14, 2010·Journal of Palliative Medicine·Robert G HollowayTimothy E Quill
Aug 29, 2012·Neurology·Adam G KellyRobert G Holloway
Mar 29, 2014·Stroke; a Journal of Cerebral Circulation·Robert G HollowayUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Clinical Cardiology
Apr 10, 2014·The American Journal of Hospice & Palliative Care·Carlos A Reyes-OrtizChristine Westphal
Oct 27, 2015·Critical Care Medicine·Santosh B MurthyWendy C Ziai
Jan 15, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Adrian R Parry-JonesUNKNOWN SSNAP Collaborative Group
Apr 6, 2016·BMC Palliative Care·Angelika AlonsoKristina Szabo
Nov 9, 2016·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Marco MaltoniUNKNOWN Early Palliative Care Italian Study Group (EPCISG)
Jan 27, 2017·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee

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Citations

Jul 31, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sarah A LevyMandip S Dhamoon
Oct 28, 2021·Journal of Palliative Medicine·Varun JainNandakumar Nagaraja
Sep 30, 2021·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Young-Taek ParkHyunchul Shin

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