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November 8, 2016Journal of Palliative Medicine

The 30-day readmission rate was 50.8% for admissions including a palliative care consult and 36.0% for controls (OR 1.8, 95% CI 1.4-2.5).

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Why the study?

Does palliative care consultation reduce 30-day readmission rates in patients admitted for heart failure exacerbation?

Population

712 patients admitted for exacerbation of congestive heart failure in a single-center academic acute…

Comparison

Palliative care consultation services vs Propensity score-matched controls without…

Design

Cohort

Follow-up

30 days

Authors

ECElizabeth ChuangGKGina KimABArthur E. Blank

Discussion

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Overview

May not reduce CHF readmissions; leaves open confounding by illness severity in observational data.

Structured PICO

Does palliative care consultation reduce 30-day readmission rates in patients admitted for heart failure exacerbation?

P
Population
712 patients (356 with palliative care consult, 356 matched controls) admitted for exacerbation of congestive heart failure (CHF) in a single-center academic acute inpatient setting
I
Intervention
Palliative care consultation services
C
Comparator
Propensity score-matched controls without palliative care consultation
O
Outcome
30-day readmission ratehard clinical

Palliative care consultation was associated with a higher 30-day readmission rate in patients with heart failure exacerbation, though this likely reflects residual confounding rather than a causal effect.

Limitations

  • Residual confounding, possibly due to critical social variables that are not captured in the electronic medical record

Cite This Study

Chuang et al. (2016) studied this question.

synapsesocial.com/papers/6a762893c14fe0c4757091fdhttps://doi.org/10.1089/jpm.2016.0305
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Impact of Inpatient Palliative Care Consultations on 30-Day Hospital Readmissions2015 · 85 citations
  2. 2Inpatient Palliative Care Encounter and 30-day Readmission Among Hospitalizations for Heart Failure2022 · 5 citations
  3. 330-Day Readmissions among Seriously Ill Older Adults2012 · 99 citations
  4. 4Impact of Hospice and Palliative Care Service Utilization on All-Cause 30-Day Readmission Rate for Older Adults Hospitalized with Heart Failure2019 · 5 citations
  5. 5Timing of Palliative Care Consultation and the Impact on Thirty-Day Readmissions and Inpatient Mortality2018 · 40 citations