• Am J Hosp Palliat Care · Mar 2014

    Impact of a palliative care consult service.

    • Kevin Whitford, Nilay D Shah, James Moriarty, Megan Branda, and Bjoerg Thorsteinsdottir.
    • 1Mayo Clinic, Rochester, MN, USA.
    • Am J Hosp Palliat Care. 2014 Mar 1;31(2):175-82.

    AbstractEstablished hospital palliative care consult services (PCCS) have been associated with reduced costs and length of stay, decreased symptom burden, and increased satisfaction with care. Using a retrospective case-control design, we analyzed administrative data of patients seen by PCCS while hospitalized at the Rochester, Minnesota Mayo Clinic hospitals from 2003 to 2008. The PCCS patients were matched to 3:1. A total of 1477 patients seen by the PCCS were matched with 4431 patients not seen. Costs for patients seen and discharged alive were US $35,449 (95% confidence interval [CI] US $34,157-US $36,686) compared to US $37,447 (95% CI US $36,734-US $38,126), without PCCS consultation. Costs for PCCS patients that died during hospitalization were US $54,940 (95% CI US $51,483-US $58,576) and non-PCCS patients were US $79,660 (95% CI US $76,614-US $83,398).

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