Journal article
Patterns of Palliative Care Consultation in Neurosurgical Patients
American journal of hospice & palliative medicine, Vol.42(3), pp.282-286
03/2025
DOI: 10.1177/10499091241255349
PMID: 38760910
Abstract
Numerous neurosurgical (NSG) conditions entail high morbidity, mortality, and prolonged ICU stays. Palliative care (PC) serves to alleviate suffering, align treatment with patient preferences, and is linked to enhanced patient and family outcomes as well as reduced care costs. Notably, no studies have addressed demographic and clinical factors associated with PC receipt in NSG patients. Our aim is to identify characteristics and outcomes, particularly end of life outcomes, of hospitalized NSG patients associated with a PC consult compared with usual NSG care. A retrospective chart review was performed of patients admitted to the NSG service from January 1, 2017 to December 31, 2018 at the University of Iowa Hospitals & Clinics. Data regarding demographics, clinical outcomes, and GOC and ACP documentation were collected. The most common reasons for a PC consult were goals of care, end of life issues, and comfort care. Of 121 total decedent patients, 97 (80.2%) had PC referrals. Patients with a PC referral had longer hospital stays (10.3 days vs 4 days) and had the majority of care in the ICU (90.7% vs 83.3%). However, fewer PC patients died in the ICU (42.3% vs 75%) and more had PCA/NCA use (51.5% vs 8.3%), code status changes to DNR (90.7% vs 62.5%), GOC documented (78.4% vs 0%) and ACP documentation (35.1% vs 16.7%). In conclusion, in NSG patients, the integration of PC may contribute to improved end-of-life care.
Details
- Title: Subtitle
- Patterns of Palliative Care Consultation in Neurosurgical Patients
- Creators
- Sawyer Kieffer - Thomas Jefferson University HospitalJohn Arce - UnityPoint Health MeriterAmy Ogilvie - University of IowaHiroyuki Oya - University of IowaYuya Hagiwara - University of Iowa
- Resource Type
- Journal article
- Publication Details
- American journal of hospice & palliative medicine, Vol.42(3), pp.282-286
- DOI
- 10.1177/10499091241255349
- PMID
- 38760910
- eISSN
- 1938-2715
- Language
- English
- Electronic publication date
- 05/17/2024
- Date published
- 03/2025
- Academic Unit
- Epidemiology; Iowa Neuroscience Institute; General Internal Medicine; Neurosurgery; Internal Medicine
- Record Identifier
- 9984628238002771
Metrics
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