Palliative Care Consultation and Effect on Length of Stay in a Tertiary-Level Neurological Intensive Care Unit. (Record no. 6713)

MARC details
000 -LEADER
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
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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
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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
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Department Neurosurgery
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Department Nursing
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Department Surgery/Surgical Critical Care
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Medline publication type Journal Article
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Local Authors Aulisi, Edward
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Local Authors Chang, Jason J
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Local Authors Groninger, Hunter
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Local Authors McCamey, Danielle
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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
Holdings
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
          MedStar Authors Catalog MedStar Authors Catalog 07/26/2021   34223471 34223471 07/26/2021 07/26/2021 Journal Article

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