Inpatient palliative care referral and 9‐month hospital readmission in patients with congestive heart failure: a linked nationwide analysis

Wiskar, Katie; Celi, Leo Anthony; Walley, Keith R.; Fruhstorfer, Clark; Rush, Barret

doi:10.1111/joim.12657

Cited by 39 publications

(33 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Forty of the 43 identified studies were non-intervention studies, using the following methods: national registry/chart review (Arestedt et al, 2018;Bakitas et al, 2017;Connor, Pyenson, Fitch, Spence, & Iwasaki, 2007;Formiga, Espel, Chivite, & Pujol, 2002;Johnson, Parsons, Raw, Williams, & Daley, 2009;Thorns, Gibbs, & Gibbs, 2001;Unroe et al, 2011;Zambroski et al, 2005), interviews (Gerlich et al, 2012;Glogowska et al, 2016;Gott et al, 2008;Hupcey, Penrod, & Fenstermacher, 2009;Kavalieratos, Mitchell et al, 2014;Kimani, Murray, & Grant, 2018;Murray et al, 2007;Selman, Beattie, Murtagh, & Higginson, 2009), retrospective surveys/questionnaire studies (Davidson, Abernethy, Newton, Clark, & Currow, 2013;Kuragaichi et al, 2018;Malik, Gysels, & Higginson, 2013;Mizuno et al, 2016;Wiskar, Celi, Walley, Fruhstorfer, & Rush, 2017), data analysis studies (Chattoo & Atkin, 2009;Greener, Quill, Amir, Szydlowski, & Gramling, 2014;Janssens & Reith, 2013;Mandawat, Heidenreich, Mandawat, & Bhatt, 2016), descriptive study (Abarshi et al, 2010;Cheung et al, 2013;Davidson et al, 2004;Formiga et al, 2008;Greener et al, 2014;Lagman, Walsh, Kunkle, LeGrand, & Davis, 2006;MartÃ-n-Lesende et al, 2016), a retrospective case-control study (Haydar, Lowe, Kahveci, Weatherford, & Finucane, 2004), observational studies …”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators to a ‘good death’ in heart failure: An integrative review

et al. 2019

View full text Add to dashboard Cite

Background: Heart failure is the final common pathway of many cardiovascular diseases, and yet many individuals with heart failure die hospitalised, suffering needlessly and experiencing what could be termed a 'bad death'. While it is essential to address the wishes of individuals and their families in improving the quality of end-of-life care for patients with heart failure, their unmet needs remain poorly understood. Aim: To systematically review the literature describing a good death or end-of-life care in heart failure and to synthesise identified studies to describe how elements of heart failure care may contribute to a good death. Methods: PubMed and Scopus were searched from January 2001 to April 2018. The method of Whittemore and Knafl guided this review to identify emergent themes. Findings: Of the 436 studies identified, 43 met the inclusion criteria. Five themes associated with end-oflife care in heart failure and a good death were generated: (1) location of death, (2) preferred care, (3) palliative care utilisation, (4) interventions to improve the likelihood of a good death, (5) the intersection of individual, family, healthcare providers, and community-level factors. Discussion: This integrative review highlights a number of factors that prevent patients with heart failure from receiving palliative care, such as difficulty predicting mortality, late referral misconception of the role of palliative care and low availability of resources. Conclusion: This review has identified modifiable barriers and facilitator of a good death and emphasised the importance of considering the intersection of patient, provider and healthcare system issues in facilitating a good death for patients with heart failure.

show abstract

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators to a ‘good death’ in heart failure: An integrative review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The use of robotic surgery was captured with ICD9 procedure code 17.4. Using a previously described approach to the NRD, we included patients who underwent surgery in the first 10 months of each year (2012‐2014) of the NRD to allow for adequate follow‐up time . Each patient was followed for a fixed period of 60 days from the date of discharge from ther index hospitalization for readmission to allow for analysis of 30‐readmission as well as 60‐day readmission.…”

Section: Methodsmentioning

confidence: 99%

“…Using a previously described approach to the NRD, we included patients who underwent surgery in the first 10 months of each year (2012-2014) of the NRD to allow for adequate follow-up time. [24][25][26] Each patient was followed for a fixed period of 60 days from the date of discharge from ther index hospitalization for readmission to allow for analysis of 30-readmission as well as 60-day readmission. We did not count readmissions for neck dissections alone without codes for other complications because these patients were likely planned readmissions for staged procedures.…”

Section: Cohort Selectionmentioning

confidence: 99%

Analysis of readmissions after transoral robotic surgery for oropharyngeal squamous cell carcinoma

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Readmissions were further decreased when consults included goals of care discussions; however, readmissions were not affected when consults involved symptom management alone. Wiskar et al (2017) conducted a study using a retrospective secondary data analysis design to analyze data in the Nationwide Readmission Database (NRD). The NRD gathers all hospital admissions from 22 states, tracks those patients through the hospital, and allows for the examination of data for readmission rates.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…(2016) had a majority of Black patients within the study. Two studies focused on patients with HF (Chuang, Kim, Blank, Southern & Fausto, 2017;Wiskar, Celi, Walley, Fruhstorfer, & Rush, 2017), two studies had the majority of patients with septicemia (Bharadwaj, et al, 2016;Zalenski, et al, 2016), two studies focused on oncology patients Zhang, et al, 2017), the other studies did not have a specific patient population identified, but used a trigger for a PC consult (Gagne Henderson et al, 2017;Lathrop, & Gottfried, 2015).…”

Section: Study Characteristics and Participantsmentioning

confidence: 99%

Examining the Relationships Between Ethnicity, Palliative Care and Readmissions in the Heart Failure Population

Johnston¹

View full text Add to dashboard Cite

Specific Aim: The aim of this dissertation is to analyze the relationships between ethnicity, palliative care consultation and readmissions in the heart failure population at a community hospital that serves a large diverse population. Background: Hospitals struggle with preventing readmissions. There are many interventions that can be implemented to help prevent readmissions, and Palliative Care (PC) is one of those interventions. PC has many benefits including symptom management, improved communication through the healthcare continuum, understanding of illness and treatment options, and can be provided in conjunction with curative treatments. Heart failure is one of the most common readmission diagnoses. It is estimated that over 8 million people will be diagnosed with heart failure by 2030. Improving readmission rates among the heart failure population is a priority for all hospitals and palliative care may help improve readmission rates. Scant existing research suggests that readmissions and use of PC varies among different ethnic groups. Methods: Using a retrospective correlational design, patient demographic information, diagnosis and readmission data was gathered from the hospital's electronic health record (EHR) for all patients admitted with a primary or secondary diagnosis of heart failure, between January 2016 and June 2016, and analyzed for relationships between the receipt of PC, ethnicity and all cause readmission within the time frame examined. Results: The researcher analyzed 330 for relationships between receipt of a PC consultation, ethnicity, and readmissions. No statistically significant relationships were found between the primary variables of ethnicity, PC consult, and readmissions, however the relationship between age and readmission was statistically significant. Conclusion: This dissertation increases knowledge related to the background; use and definition of PC; relationships between PC, ethnicity, and readmissions; and adds to the available published literature. The lack of strength of associations suggests the need for future research to identify additional variables and their possible relationships between PC and readmissions, ethnicity and readmissions, and PC and ethnicity in the HF population. The significance of age and readmissions should be further analyzed. This page is left intentionally blank.

show abstract

Inpatient palliative care referral and 9‐month hospital readmission in patients with congestive heart failure: a linked nationwide analysis

Abstract: Patients with HF who received an inpatient PC visit had significantly lower rates of all-cause and HF-specific readmission in the subsequent 9 months. Total 9-month hospital charges were also significantly lower for patients who received an inpatient PC visit.

Cited by 39 publications

References 41 publications

Barriers and facilitators to a ‘good death’ in heart failure: An integrative review

Barriers and facilitators to a ‘good death’ in heart failure: An integrative review

Analysis of readmissions after transoral robotic surgery for oropharyngeal squamous cell carcinoma

Examining the Relationships Between Ethnicity, Palliative Care and Readmissions in the Heart Failure Population

Contact Info

Product

Resources

About