December 14, 2018Journal of Palliative MedicineOpen Access

PCC within 0-2 and 3-6 days of admission was associated with adjusted mortality reductions of 19.4% and 19.1%, and adjusted readmission reductions of 14.1% and 19.2%, respectively.

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Why the study?

Inpatient palliative care consultation may reduce 30-day readmissions and inpatient mortality among seriously ill patients, but the impact of its timing remained to be evaluated.

Does the timing of inpatient palliative care consultation reduce 30-day readmissions and inpatient mortality in adult inpatients?

Population

Adult patients with hospital length of stay <30 days across eight hospitals

Comparison

Inpatient palliative care consultation by timing vs non-PCC inpatients

Design

Retrospective observational study

Follow-up

30 days

Authors

JBJohn E. Barkley AMAndrea McCall AMAndréa L. Maslow

Discussion

Member takes

Overview

Early PCC timing may lower mortality and readmissions; leaves open causality and practice change in this observational cohort.

Structured PICO

Does the timing of inpatient palliative care consultation reduce 30-day readmissions and inpatient mortality in adult inpatients?

Population

49,506 adult inpatients with hospital length of stay <30 days and primary diagnoses of circulatory, infectious, respiratory, neoplasms, injury/poisoning, or digestive system diseases across 8 hospitals in a single health care system.

Intervention

Inpatient palliative care consultation (PCC), analyzed by timing of consultation (0-2 days, 3-6 days, and 7-30 days from admission).

Comparator

Usual care (all other inpatients not receiving inpatient palliative care consultation).

Outcome

30-day readmissions and inpatient mortality (measured as risk-adjusted observed-to-expected ratios).hard clinical

Early inpatient palliative care consultation (within 6 days of admission) is associated with significant reductions in 30-day readmissions and inpatient mortality.

Cite This Study

Barkley et al. (2018) studied this question.

synapsesocial.com/papers/6a7e13c06248cd2ffbdf1d3c https://doi.org/10.1089/jpm.2018.0399

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December 14, 2018Journal of Palliative MedicineOpen Access

PCC within 0-2 and 3-6 days of admission was associated with adjusted mortality reductions of 19.4% and 19.1%, and adjusted readmission reductions of 14.1% and 19.2%, respectively.

View Full Paper

Ask AI

Bookmark

Why the study?

Inpatient palliative care consultation may reduce 30-day readmissions and inpatient mortality among seriously ill patients, but the impact of its timing remained to be evaluated.

Does the timing of inpatient palliative care consultation reduce 30-day readmissions and inpatient mortality in adult inpatients?

Population

Adult patients with hospital length of stay <30 days across eight hospitals

Comparison

Inpatient palliative care consultation by timing vs non-PCC inpatients

Design

Retrospective observational study

Follow-up

30 days

Authors

JBJohn E. Barkley AMAndrea McCall AMAndréa L. Maslow

Discussion

Member takes

Overview

Early PCC timing may lower mortality and readmissions; leaves open causality and practice change in this observational cohort.

Structured PICO

Does the timing of inpatient palliative care consultation reduce 30-day readmissions and inpatient mortality in adult inpatients?

Population

Intervention

Inpatient palliative care consultation (PCC), analyzed by timing of consultation (0-2 days, 3-6 days, and 7-30 days from admission).

Comparator

Usual care (all other inpatients not receiving inpatient palliative care consultation).

Outcome

30-day readmissions and inpatient mortality (measured as risk-adjusted observed-to-expected ratios).hard clinical

Early inpatient palliative care consultation (within 6 days of admission) is associated with significant reductions in 30-day readmissions and inpatient mortality.

Cite This Study

Barkley et al. (2018) studied this question.

synapsesocial.com/papers/6a7e13c06248cd2ffbdf1d3c https://doi.org/10.1089/jpm.2018.0399

Also Consider

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

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