Featured Research

from universities, journals, and other organizations

Quick palliative care consultations in emerg results in significantly shorter hospital stays

Date:
December 10, 2013
Source:
New York University
Summary:
Medical researchers found that initiating a palliative care consult in the emergency department reduced hospital length of stay when compared to patients who receive the palliative care consult after admission.

New York University College of Nursing researcher and Assistant Professor Abraham A. Brody, RN, PhD, GNP-BC and colleagues reporting in Journal of Palliative Medicine found that initiating a palliative care consult in the emergency department (ED) reduced hospital length of stay (LOS) when compared to patients who receive the palliative care consult after admission.

Their study, "Effects of Initiating Palliative Care Consultation in the Emergency Department on Inpatient Length of Stay," retrospectively reviewed the information from the 1,435 palliative care consults identified through the administrative records system during a four-year period. Half received a consult while in the emergency department. LOS was 3.6 days shorter in the cohort receiving a palliative care consult in the emergency department.

"The ED is a setting for triage, treatment, and determination of subsequent course of care," said Dr. Brody. "Patients with advanced illness are generally triaged by acuity level and then based on their condition, admitted to the hospital floor, the intensive care unit, or a lower intervention care setting, such as a dedicated palliative care (PC) unit in the hospital. Patient preferences are generally not as highly considered in the ED due to requirements for timely disposition."

To better match patient wishes with the care received, the team hypothesized that creating a PC pathway in the ED may lead to an improvement in patient-centered care and a decrease in the intensity and invasiveness of care when appropriate. Specifically, the researchers hypothesized that hospitalized patients who receive PC consultation in the ED will have a lower LOS than those whose consultation occurs after admission.

"By providing early palliative care, patient needs are met earlier on, either preventing admission or reducing length of stay and treatment intensity for patients, which reduces costs to Medicare and the government," said Dr. Brody. "Patients receiving palliative care are less likely to be readmitted as well. Early palliative care can better help patients to have their wishes met, and allow them to return to and stay at home."

The findings are significant in light of the Affordable Care Act (ACA) which allows Medicare to create a Shared Savings Program, otherwise known as Accountable Care Organizations. These organizations are financially rewarded or at times penalized based on how successful they are in improving the quality of care and reducing costs.

The researchers note that this study is a first step toward fully examining the benefits of PC in the ED on hospital utilization. Further study is needed to examine why changes in LOS occurred, as well as whether there are potential differences in intensive care unit LOS, costs, clinical outcomes, and patient satisfaction outcomes.

Additional study is also needed to examine the best methods for implementation of PC intervention in the ED, especially given the time sensitive nature of ED care and the staffing required to provide PC in such a setting.


Story Source:

The above story is based on materials provided by New York University. Note: Materials may be edited for content and length.


Journal Reference:

  1. Frances M. Wu, Jeffrey M. Newman, Andrew Lasher, Abraham A. Brody. Effects of Initiating Palliative Care Consultation in the Emergency Department on Inpatient Length of Stay. Journal of Palliative Medicine, 2013; 16 (11): 1362 DOI: 10.1089/jpm.2012.0352

Cite This Page:

New York University. "Quick palliative care consultations in emerg results in significantly shorter hospital stays." ScienceDaily. ScienceDaily, 10 December 2013. <www.sciencedaily.com/releases/2013/12/131210120703.htm>.
New York University. (2013, December 10). Quick palliative care consultations in emerg results in significantly shorter hospital stays. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2013/12/131210120703.htm
New York University. "Quick palliative care consultations in emerg results in significantly shorter hospital stays." ScienceDaily. www.sciencedaily.com/releases/2013/12/131210120703.htm (accessed April 23, 2014).

Share This



More Health & Medicine News

Wednesday, April 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Big Pharma Braces for M&A Wave

Big Pharma Braces for M&A Wave

Reuters - Business Video Online (Apr. 22, 2014) Big pharma on the move as Novartis boss, Joe Jimenez, tells Reuters about plans to transform his company via an asset exchange with GSK, and Astra Zeneca shares surge on speculation that Pfizer is looking for a takeover. Joanna Partridge reports. Video provided by Reuters
Powered by NewsLook.com
How Smaller Plates And Cutlery Could Make You Feel Fuller

How Smaller Plates And Cutlery Could Make You Feel Fuller

Newsy (Apr. 22, 2014) NBC's "Today" conducted an experiment to see if changing the size of plates and utensils affects the amount individuals eat. Video provided by Newsy
Powered by NewsLook.com
How to Master Motherhood With the Best Work/Life Balance

How to Master Motherhood With the Best Work/Life Balance

TheStreet (Apr. 22, 2014) In the U.S., there are more than 11 million couples trying to conceive at any given time. From helping celebrity moms like Bethanny Frankel to ordinary soon-to-be-moms, TV personality and parenting expert, Rosie Pope, gives you the inside scoop on mastering motherhood. London-born entrepreneur Pope is the creative force behind Rosie Pope Maternity and MomPrep. She explains why being an entrepreneur offers the best life balance for her and tips for all types of moms. Video provided by TheStreet
Powered by NewsLook.com
Catching More Than Fish: Ugandan Town Crippled by AIDS

Catching More Than Fish: Ugandan Town Crippled by AIDS

AFP (Apr. 22, 2014) The village of Kasensero on the shores of Lake Victoria was where HIV-AIDS was first discovered in Uganda. Its transient population of fishermen and sex workers means the nationwide programme to combat the virus has had little impact. Duration: 02:30 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins