Palliative Care Consultation and Effect on Length of Stay in a Tertiary-Level Neurological Intensive Care Unit. (Record no. 6713)
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fixed length control field | 03190nam a22004097a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 210726s20202020 xxu||||| |||| 00| 0 eng d |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | 10.1089/pmr.2020.0051 [doi] |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | 10.1089/pmr.2020.0051 [pii] |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | PMC8241345 [pmc] |
040 ## - CATALOGING SOURCE | |
Original cataloging agency | Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
PMID | 34223471 |
245 ## - TITLE STATEMENT | |
Title | Palliative Care Consultation and Effect on Length of Stay in a Tertiary-Level Neurological Intensive Care Unit. |
251 ## - Source | |
Source | Palliative Medicine Reports. 1(1):161-165, 2020. |
252 ## - Abbreviated Source | |
Abbreviated source | Palliat. med. rep.. 1(1):161-165, 2020. |
253 ## - Journal Name | |
Journal name | Palliative medicine reports |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Year | 2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Manufacturer | FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
Publication status | epublish |
266 ## - Date added to catalog | |
Date added to catalog | 2021-07-26 |
520 ## - SUMMARY, ETC. | |
Abstract | Background: Patients admitted to an acute care setting with a devastating brain injury are at high risk for morbidity and mortality. These patients and their families can benefit from the psychosocial and decision-making support of a palliative care consultation. Objective: We aim to investigate the characteristics and impact of palliative care consultation for patients under the management of neurosurgical and critical care services with a devastating brain injury in a neurological intensive care unit (ICU) at a large tertiary-care hospital. Design: Data were collected by retrospective review of the electronic medical record and metrics collected by the palliative care service. Data were analyzed using descriptive statistics. Linear regression analysis was performed to assess effect of timing of palliative care consultation. Results: Fifty-five patients admitted to the neurological ICU under the management of the neurosurgical service received a palliative care consultation for the following: hemorrhagic stroke (49%), metastatic cancer (22%), and traumatic brain injury (18%). Of these, 73% had at least one neurosurgical intervention. Palliative care was most frequently consulted for assistance in defining a patient's goals of care (88%). When compared with late consultation, early palliative care consultation was significantly associated with shorter mean length of stay (LOS) and positively correlated in linear regression analysis without an effect on mortality. Conclusions: When compared with a late consultation, early palliative care consultation corresponded to shorter LOS without increasing mortality. One reason for this effect may be that palliative care can help to clarify and document goals of care earlier and more concretely. Copyright (c) Michael Pottash et al., 2020 Published by Mary Ann Liebert, Inc. |
546 ## - LANGUAGE NOTE | |
Language note | English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
Institution | MedStar Washington Hospital Center |
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Department | Medicine/Palliative Care |
656 ## - INDEX TERM--OCCUPATION | |
Department | Neurosurgery |
656 ## - INDEX TERM--OCCUPATION | |
Department | Nursing |
656 ## - INDEX TERM--OCCUPATION | |
Department | Surgery/Surgical Critical Care |
657 ## - INDEX TERM--FUNCTION | |
Medline publication type | Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Aulisi, Edward |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Chang, Jason J |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Groninger, Hunter |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | McCamey, Danielle |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Pottash, Michael |
790 ## - Authors | |
All authors | Aulisi EF, Chang JJ, Groninger H, McCamey D, Pottash M |
856 ## - ELECTRONIC LOCATION AND ACCESS | |
DOI | <a href="https://dx.doi.org/10.1089/pmr.2020.0051">https://dx.doi.org/10.1089/pmr.2020.0051</a> |
Public note | https://dx.doi.org/10.1089/pmr.2020.0051 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Koha item type | Journal Article |
Item type description | Article |
Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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MedStar Authors Catalog | MedStar Authors Catalog | 07/26/2021 | 34223471 | 34223471 | 07/26/2021 | 07/26/2021 | Journal Article |