• Am J Hosp Palliat Care · Aug 2015

    Comparison of Early Versus Late Palliative Care Consultation in End-of-Life Care for the Hospitalized Frail Elderly Patients.

    • Carlos A Reyes-Ortiz, Christopher Williams, and Christine Westphal.
    • Gerontology Institute, Georgia State University, Atlanta, GA, USA Department of Internal Medicine, Division of Geriatric and Palliative Care, University of Texas Medical School, Houston, TX, USA careyesortiz@hotmail.com.
    • Am J Hosp Palliat Care. 2015 Aug 1; 32 (5): 516-20.

    AbstractTo examine the effects of early palliative care (PC; EPC; ≤3 days after admission) consultation versus late PC (>3 days) on number of days from day of consult to discharge (DCDAYS), a retrospective review of PC data (2009-2012) included 531 patients with age ≥65 and Palliative Performance Scale ≤50. Early PC was independently associated with lower DCDAYS (P = .019). Persons admitted to hospice (P = .010) as well as those discharged to home (P = .003) and subacute rehabilitation (SAR; P = .015) were more likely to have an EPC compared to those who died. Admitting to hospice was associated with lower DCDAYS than discharging to long-term acute care (P < .001) or SAR (P < .001). Early PC resulted in lower DCDAYS, fewer inpatient deaths, and higher hospice admissions. Hospice resulted in fewer DCDAYS. © The Author(s) 2014.

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