Palliative care consultation in patients with Staphylococcus aureus bacteremia

Takaaki Kobayashi; Jorge L Salinas; Patrick Ten Eyck; Benjamin Chen; Tomo Ando; Kengo Inagaki; Mohammed Alsuhaibani; Paul G Auwaerter; Ilonka Molano; Daniel J Diekema

doi:10.1177/0269216321999574

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Palliative care consultation in patients with Staphylococcus aureus bacteremia

Journal article

Peer reviewed

Palliative care consultation in patients with Staphylococcus aureus bacteremia

Takaaki Kobayashi, Jorge L Salinas, Patrick Ten Eyck, Benjamin Chen, Tomo Ando, Kengo Inagaki, Mohammed Alsuhaibani, Paul G Auwaerter, Ilonka Molano and Daniel J Diekema

Palliative medicine, Vol.35(4), pp.26921632199957-792

03/24/2021

DOI: 10.1177/0269216321999574

PMID: 33757367

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https://www.ncbi.nlm.nih.gov/pmc/articles/8436633View

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Abstract

Background: Palliative care consultation has shown benefits across a wide spectrum of diseases, but the utility in patients with Staphylococcus aureus bacteremia remains unclear despite its high mortality. Aim: To examine the frequency of palliative care consultation and factors associated with palliative care consult in Staphylococcus aureus bacteremia patients in the United States. Design: A population-based retrospective analysis using the Nationwide Inpatient Sample database in 2014, compiled by the Healthcare Costs and Utilization Project of the Agency for Healthcare Research and Quality. Setting/subjects: All inpatients with a discharge diagnosis of Staphylococcus aureus bacteremia (ICD-9-CM codes; 038.11 and 038.12). Measurements: Palliative care consultation was identified using ICD-9-CM code V66.7. Patients’ baseline characteristics and outcomes were compared between those with and without palliative care consult. Results: A total of 111,320 Staphylococcus aureus bacteremia admissions were identified in 2014. Palliative care consult was observed in 8140 admissions (7.3%). Palliative care consultation was associated with advanced age, white race, comorbidities, higher income, teaching/urban hospitals, Midwest region, Methicillin-resistant Staphylococcus aureus bacteremia and the lack of echocardiogram. Palliative care consult was also associated with shorter but more expensive hospitalizations. Crude mortality was 53% (4314/8140) among admissions with palliative care consult and 8% (8357/10,3180) among those without palliative care consult ( p < 0.001). Conclusions: Palliative care consultation was infrequent during the management of Staphylococcus aureus bacteremia, and a substantial number of patients died during their hospitalizations without palliative care consult. Given the reported benefit in other medical conditions, palliative care consultation may have a role in Staphylococcus aureus bacteremia. Selecting patients who may benefit the most should be explored.

Details

Title: Subtitle: Palliative care consultation in patients with Staphylococcus aureus bacteremia
Creators: Takaaki Kobayashi - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Jorge L Salinas - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Patrick Ten Eyck - Institute for Clinical and Translational Science, University of Iowa, Iowa City, IA, USA
Benjamin Chen - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Tomo Ando - Division of Cardiology, Columbia University, New York, NY, USA
Kengo Inagaki - Division of Infectious Diseases, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA
Mohammed Alsuhaibani - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA, Department of Pediatrics, College of Medicine, Qassim University, Qassim, Saudi Arabia
Paul G Auwaerter - Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Ilonka Molano - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA, Division of Supportive and Palliative Care, University of Iowa, Iowa City, IA, USA
Daniel J Diekema - Division of Infectious Diseases, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Palliative medicine, Vol.35(4), pp.26921632199957-792
DOI: 10.1177/0269216321999574
PMID: 33757367
NLM abbreviation: Palliat Med
ISSN: 0269-2163
eISSN: 1477-030X
Language: English
Date published: 03/24/2021
Academic Unit: Infectious Diseases; Pathology; Biostatistics; Internal Medicine
Record Identifier: 9984077786102771

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