• Mary Scott, Nicole Shaver, Julie Lapenskie, Sarina R Isenberg, Stephanie Saunders, Amy T Hsu, and Peter Tanuseputro.
• Bruyère Research Institute, Ottawa, ON, Canada.
• Palliat Med. 2020 Jan 1; 34 (1): 5-15.

BackgroundWhile most patients desire to die at home or in a community-based hospice, the transition from hospital to community settings often lacks streamlined coordination of care to ensure that adequate support is provided in the preferred care setting. The impact of hospital-based palliative care consultations on post-discharge care and outcomes has not been extensively studied.AimThe aim of this study was to appraise available research on the impact of inpatient palliative care consultations on transitions from hospital to community settings.DesignWe conducted a narrative systematic review and used the Effective Public Health Practice Project tool to appraise the quality of selected studies. Studies were included if they assessed the transition from hospital to community and examined outcomes after an inpatient palliative care consultation. A protocol for this study was registered and published in PROSPERO, Centre for Reviews and Dissemination (ID: CRD42018094924).Data SourcesWe searched for quantitative studies indexed in PubMED, CINAHL and Cochrane and published between 1 January 1 2000 and 11 March 2018.ResultsOur search retrieved 2749 articles. From these, 123 articles were full-text screened and 15 studies met our inclusion criteria. Studies reported that inpatient palliative care consultations are associated with high rates of discharge to community settings, greater provision of services post-discharge, improved coordination and lower rates of rehospitalization.ConclusionExisting evidence suggest that inpatient palliative care consultations have a positive impact on patient outcomes and transitions to the community, demonstrating the potential to improve patient quality of life and relieve overburdened acute care systems.

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