• Am J Hosp Palliat Care · Sep 2014

    Factors associated with utilization of an inpatient palliative care consultation service in an urban public hospital.

    • Pavan Bhatraju, Allison S Friedenberg, Amit Uppal, and Laura Evans.
    • Department of Medicine, New York University, New York City, NY, USA pavan.bhatraju@nyumc.org.
    • Am J Hosp Palliat Care. 2014 Sep 1; 31 (6): 641-4.

    RationaleTo evaluate factors associated with palliative care consultation (PCC) in an urban public hospital.MethodsA retrospective chart review of patients who died on inpatient medical services.ResultsPatients with a PCC were more likely to have a "do not resuscitate" (DNR) order at the time of death (p<0.001) and had a decreased likelihood of death in the ICU (p<0.001). Factors associated with PCC in a multivariate analysis included: cancer diagnosis (p=0.01), at least a high school education (p=0.04), older age (p=.003), and birth outside the US (p=0.03).ConclusionThe increased PCC utilization for immigrants is in contrast to previously reported literature. This increased use may be because access to services in a municipal hospital is not driven by demographic and socioeconomic factors.© The Author(s) 2013.

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