• María Herrera Abian, Antón RodríguezCristinaCPalliative Care Chief, Hospital Universitario Fundación Jiménez Díaz (C.A.R., A.N.), Madrid, España; Unidad de Apoyo a la Investigación, Facultad de Medicina (C.A.R.), Universidad Francisco de Vitoria, Madrid, España. Electronic ad, and Antonio Noguera.
• Palliative Care Chief, Hospital Universitario Infanta Elena (M.H.A.), Valdemoro, Madrid, España; Facultad de Medicina, Universidad Francisco de Vitoria (M.H.A.), Madrid, España.
• J Pain Symptom Manage. 2022 Nov 1; 64 (5): 495503495-503.

ContextHospital deaths carry a significant healthcare cost that has been confirmed to be lower when palliative care units (PCUs) are available.ObjectivesTo compare the last admission hospital health care cost of dying in a first-level hospital between the PCU and the rest of the hospital services.MethodsA retrospective, comparative, observational study evaluating costs from the payer perspective on treatments and diagnostic-therapeutic tests performed on patients who die in first-level hospital, comparing whether they were treated by the PCU or another unit (Non-PCU). Patients with a mortality risk >2 were included according to the Severity of Illness Index (SOI) and Risk of Mortality (MOR). All cost express in €, median per patient and interquartile range (IQR).ResultsFrom 1,833 patients who died, 1,389 were included, 442 (31.1%) treated by PCU and 928 (68.9%) Non-PCU. Statistical differences were found for the last admission total cost (€262.8 (€470.1) for PCU versus €515.3 (€980.48) in Non-PCU), daily total cost (€74.27 (€127.4) vs €115.8 (€142.4) Non-PCU). Savings were maintained when the sample was broken down by diagnosis-related group (DRG) and a multivariate analysis was performed to determine how the different patients baseline characteristics between PCU and Non-PCU patients influenced the results obtained.ConclusionsData from this study show that cost is significantly lower when the patients are treated by a PCU during their last hospital stay when they pass away.Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.

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