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 September 22, 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 September 22, 2014).

Share This



More Health & Medicine News

Monday, September 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com
Sierra Leone's Nationwide Ebola Curfew Underway

Sierra Leone's Nationwide Ebola Curfew Underway

Newsy (Sep. 20, 2014) Sierra Leone is locked down as aid workers and volunteers look for new cases of Ebola. Video provided by Newsy
Powered by NewsLook.com
Changes Found In Brain After One Dose Of Antidepressants

Changes Found In Brain After One Dose Of Antidepressants

Newsy (Sep. 19, 2014) A study suggest antidepressants can kick in much sooner than previously thought. Video provided by Newsy
Powered by NewsLook.com
Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
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