Journal article
Trends, Predictors, and Potential Disparities of Palliative Care Utilization Among Older Adults With Hip Fractures: A Retrospective Analysis of the National Inpatient Sample, 2016-2020
Journal of palliative care, Vol.40(2), pp.120-128
04/2025
DOI: 10.1177/08258597241290982
PMCID: PMC12750101
PMID: 39403754
Abstract
To assess the trends in palliative care consultation utilization and identify associated factors among older adults hospitalized with hip fractures in the United States between 2016 and 2020.
We conducted a retrospective cohort study using data from the National Inpatient Sample from 2016 to 2020. The study included patients aged 65 and older admitted to hospital with a primary diagnosis of hip fracture. We identified palliative care consultations using ICD-10 code Z51.5. Multivariate logistic regression analyses were performed to identify predictors of palliative care utilization, adjusting for demographics, clinical variables, and hospital characteristics.
A total of 293,749 admissions for hip fractures were identified, of which 9546 (3.2%) had palliative care consultations. A consistent upward trend was seen in the proportion of patients receiving palliative care consultations across all fracture types. Patients of color (Black: odds ratio [OR] = 0.73, 95% confidence interval [CI]: 0.65-0.83; Hispanic: OR = 0.67, 95% CI: 0.60-0.75 compared to White), those in lower-income quartiles (lowest: OR = 0.81, 95% CI: 0.76-0.87 compared to highest), smaller hospital size (OR = 0.84, 95% CI: 0.79-0.89 compared to large), and rural hospital (OR = 0.63, 95% Cl: 0.59-0.68, compared to urban teaching) were associated with fewer palliative care consultations.
The number of palliative care consultations during hip fracture hospital admission was low, although the proportion increased over time. Significant disparities were observed and further research should explore barriers to palliative care access and develop strategies to enhance its delivery across diverse healthcare settings.
Details
- Title: Subtitle
- Trends, Predictors, and Potential Disparities of Palliative Care Utilization Among Older Adults With Hip Fractures: A Retrospective Analysis of the National Inpatient Sample, 2016-2020
- Creators
- Yuji Yamada - St. Marianna University School of MedicineTakaaki Kobayashi - University of IowaPatrick Ten Eyck - University of Iowa, BiostatisticsRenee Ren - Icahn School of Medicine at Mount SinaiShigeki Fujitani - St. Marianna University School of MedicineFred Ko - James J. Peters VA Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of palliative care, Vol.40(2), pp.120-128
- DOI
- 10.1177/08258597241290982
- PMID
- 39403754
- PMCID
- PMC12750101
- NLM abbreviation
- J Palliat Care
- ISSN
- 0825-8597
- eISSN
- 2369-5293
- Publisher
- SAGE PUBLICATIONS INC
- Grant note
- University of Iowa Clinical and Translational Science Award - NIH: UM1TR004403
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study wassupported in part by The University of Iowa Clinical and Translational Science Award - NIH (UM1TR004403).
- Language
- English
- Electronic publication date
- 10/15/2024
- Date published
- 04/2025
- Academic Unit
- Infectious Diseases; Biostatistics; Internal Medicine; Design Biostat and Ethics
- Record Identifier
- 9984737136902771
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