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Am J Hosp Palliat Care · Sep 2010
Comparative StudyThe triad that matters: palliative medicine, code status, and health care costs.
- Brian G Celso and Senthil Meenrajan.
- Department of Psychiatry, University of Florida College of Medicine, Jacksonville, FL 32209, USA. Brian.Celso@jax.ufl.edu
- Am J Hosp Palliat Care. 2010 Sep 1;27(6):398-401.
IntroductionDelayed discussion of a patient's code status can lead to shortsighted care plans that increase hospital length of stay (LOS) and costs.MethodsRetrospective study compared intensive care unit (ICU) patients who accepted verses rejected palliation and examined the relationships between 5 predictor variables with the outcome variables ICU LOS and total hospital LOS, and total direct and variable hospital cost.ResultsA significant number of patients who accepted palliative care agreed to a hospice referral or expired in the hospital. The relationships between days until a family conference, do-not-resuscitate (DNR) order, and the number of invasive procedures were significant.ConclusionsThe amount of time that expires until the issue of code status was settled to clearly related to utilization of hospital resources.
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