Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
June 1, 2011The Permanente Journal

Interdisciplinary team consultation decreased hospital readmissions per patient per six months from 1.15 to 0.70 (p=0.025), reducing the Bayesian probability of readmission from 73% to 33%.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does an interdisciplinary palliative care team consultation reduce hospital readmissions in hospitalized patients referred for end-of-life-care planning compared to a nurse-only consultation?

Population

200 consecutive hospitalized patients referred to the Inpatient Palliative Care Service for end-of-life-care…

Comparison

Interdisciplinary palliative care team… vs Palliative care consultation conducted solely by…

Design

Cohort

Follow-up

6 months

Authors

CNCraig NelsonPCPushkar ChandJSJulie Sortais

Discussion

Loading...

Member takes

Overview

May support interdisciplinary over nurse-only palliative consultations to reduce readmissions; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does an interdisciplinary palliative care team consultation reduce hospital readmissions in hospitalized patients referred for end-of-life-care planning compared to a nurse-only consultation?

P
Population
200 consecutive hospitalized patients referred to the Inpatient Palliative Care Service for end-of-life-care planning at Kaiser Permanente South Bay Medical Center in Harbor City, CA, between November 2006 and February 2010.
I
Intervention
Interdisciplinary palliative care team consultation consisting of a physician, a bioethicist, a social worker, a registered nurse (RN), and a hospital chaplain.
C
Comparator
Palliative care consultation conducted solely by an inpatient palliative care registered nurse (RN).
O
Outcome
Hospital readmissions per patient per six months after consultation.

Interdisciplinary inpatient palliative care consultations for end-of-life planning significantly reduce hospital readmissions compared to nurse-only consultations, potentially offering substantial cost savings and improved resource use.

Limitations

  • Retrospective design
  • Lack of a prospective trial with a logistic-regression model to examine wider categories of data (e.g., age, sex, diagnoses)
  • Need for objective metrics to measure the worth and value of qualitative services provided by palliative care

Cite This Study

Nelson et al. (2011) studied this question.

synapsesocial.com/papers/6a7cc237638b4eb1dc3f6a4ehttps://doi.org/10.7812/tpp/10-142
View Full Paper
Ask AI
Bookmark
Share

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. 2Retrospective analysis of an inpatient palliative care program2026
  3. 330-Day Readmissions among Seriously Ill Older Adults2012 · 99 citations
  4. 430-Day Readmission Rates in Patients Admitted for Heart Failure Exacerbation with and without Palliative Care Consultation: A Retrospective Cohort Study2016 · 21 citations
  5. 5Survival, Mortality, and Location of Death for Patients Seen by a Hospital-Based Palliative Care Team2006 · 59 citations