Key result
Hospice referral for acute decompensated heart failure increased from 0.8% in 2001 to 1.3% in 2005 (P<0.008), with older age (OR 1.63; 95% CI 1.57-1.68) and worse renal function as significant predictors.
Why the study?
What are the characteristics, predictors, and temporal trends of hospice referral for patients hospitalized with acute decompensated heart failure?
Observational (n=182,898)
Yes
What are the characteristics, predictors, and temporal trends of hospice referral for patients hospitalized with acute decompensated heart failure?
Absolute Event Rate: 1.3% vs 0.8%
p-value: p=<0.008
A small but increasing percentage of patients hospitalized with acute decompensated heart failure are referred to hospice, with referrals associated with markers of advanced disease and higher hospital compliance with performance measures.
No takes yet. Share an insight, caveat, or question.
Low hospice referral rates persist in ADHF; extends predictor data but leaves open optimal criteria and outcomes.
Paul J. Hauptman (2007) conducted an observational in Acute Decompensated Heart Failure (n=182,898). Hospice referral vs. Discharge to home or intermediate-care facilities was evaluated on Median rate of hospice referral (2005 vs 2001) (p=<0.008). Hospice referral for acute decompensated heart failure increased from 0.8% in 2001 to 1.3% in 2005 (P<0.008), with older age (OR 1.63; 95% CI 1.57-1.68) and worse renal function as significant predictors.
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