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.

Related Articles


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 1, 2015 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 1, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, April 1, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

7-Year-Old Girl Gets 3-D Printed 'robohand'

7-Year-Old Girl Gets 3-D Printed 'robohand'

AP (Mar. 31, 2015) — Although she never had much interest in prosthetic limbs before, Faith Lennox couldn&apos;t wait to slip on her new robohand. The 7-year-old, who lost part of her left arm when she was a baby, grabbed it as soon as it came off a 3-D printer. (March 31) Video provided by AP
Powered by NewsLook.com
Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
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:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

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