Why the study?
The study aimed to determine the association between an inpatient palliative care encounter and 30-day rehospitalization among patients hospitalized for heart failure.
Does an inpatient palliative care encounter reduce 30-day rehospitalization in hospitalizations for heart failure?
Does an inpatient palliative care encounter reduce 30-day rehospitalization in hospitalizations for heart failure?
Inpatient palliative care encounters during heart failure hospitalizations are associated with a significantly lower risk of 30-day readmission.
Answers are grounded in this paper and cite their sources.
May support palliative care integration during HF hospitalizations; leaves open causal benefit pending randomized trials.
Aim: To determine the association between inpatient palliative care encounter (PCE) and 30-day rehospitalization. Materials & methods: The Nationwide Readmission Database was used in a cross-sectional design study. Comorbidities and a palliative care encounter (PCE; V66.7) were defined using ICD-9 codes. Results: Overall, 21.28% of 3,534,480 index hospitalizations were readmitted. PCE occurred in 1.66% of index hospitalizations and was associated with a lower odds of 30-day rehospitalization (adjusted odds ratio, 0.38; 95% CI: 0.35–0.40). This association remained significant when assessed by discharge destination. Conclusion: PCE was associated with a lower relative odds of 30-day rehospitalization. A 73% decrease in the relative odds of 30-day rehospitalization among discharges to a facility, 64% for home with home health, and 22% for discharges to home.
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Yazdanyar et al. (2022) studied this question.
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