What question did this study set out to answer?

To identify predictors of palliative care consultation in hospitalized patients with unplanned ICU admissions and evaluate its association with post-discharge family psychological distress.

December 27, 2023Journal of Palliative MedicineOpen Access

Palliative Care Consultation and Family-Centered Outcomes in Patients With Unplanned Intensive Care Unit Admissions

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Authors

JNJ. Treadway NomitchUniversity of Washington LDLois DowneyUniversity of Washington LPLauren R. PollackUniversity of Washington

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Implication

Prospective cohort study finds palliative care consultation does not reduce family distress after unplanned ICU admissions, suggesting consultation timing may occur too late to alter outcomes.

Key Points

To identify predictors of palliative care consultation in hospitalized patients with unplanned ICU admissions and evaluate its association with post-discharge family psychological distress.
Prospective cohort study of 413 patients with unplanned ICU admissions and 272 family members across two medical centers in Seattle, WA.
Multivariable logistic regression evaluated patient predictors of consultation, and adjusted ordinal probit or binary logistic regression evaluated family psychological distress within 90 days of discharge.
Palliative care was consulted for 24% of patients (n = 100), with 93% of consultations occurring after ICU transfer.
Consultation after transfer was significantly associated with study site (OR, 2.29; 95% CI: 1.17–4.50), Sequential Organ Failure Assessment score (OR, 1.12; 95% CI: 1.05–1.19), and kidney dysfunction upon admission (OR, 7.02; 95% CI: 1.08–45.69).
Palliative care consultation showed no statistically significant difference in family symptoms of depression or posttraumatic stress.

Cite This Study

Nomitch et al. (2023) studied this question.

synapsesocial.com/papers/6a16870f8970c73bf3bc1111 https://doi.org/10.1089/jpm.2023.0436

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Implication

Prospective cohort study finds palliative care consultation does not reduce family distress after unplanned ICU admissions, suggesting consultation timing may occur too late to alter outcomes.

Palliative Care Consultation and Family-Centered Outcomes in Patients With Unplanned Intensive Care Unit Admissions

Discussion

Member takes

Implication

Key Points

Cite This Study

Palliative Care Consultation and Family-Centered Outcomes in Patients With Unplanned Intensive Care Unit Admissions

Discussion

Member takes

Implication

Key Points

Cite This Study

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