ArticleAnnals of the American Thoracic Society2013
High burden of palliative needs among older intensive care unit survivors transferred to post-acute care facilities. a single-center study.
Article in Annals of the American Thoracic Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessing palliative care practices in intensive care units and interpreting them using the lens of appropriate care concepts. An umbrella review.Intensive care medicine · 2024Pooled it
- [Integration of palliative care into intensive care : Systematic review].Der Anaesthesist · 2017Pooled it
- Analyzing the use of specialized palliative care in intensive care unit patients in Germany: a cross-sectional study.BMC palliative care · 2025Article
- Definitions, epidemiology, and outcomes of persistent/chronic critical illness: a scoping review for translation to clinical practice.Critical care (London, England) · 2024Article
- Clinical outcomes of a joint ICU and palliative care multidisciplinary rounding model: A retrospective cohort study.PloS one · 2024Article
- Palliative Care in Survivors of Critical Illness: A Qualitative Study of Post-Intensive Care Unit Program Clinicians.Journal of palliative medicine · 2023Article
- Availability of Palliative Care in Long-Term Acute Care Hospitals.Journal of the American Medical Directors Association · 2021Article
- Training Chaplains to Provide Communication-Board-Guided Spiritual Care for Intensive Care Unit Patients.Journal of palliative medicine · 2021Article
- Evaluation of automated specialty palliative care in the intensive care unit: A retrospective cohort study.PloS one · 2021Article
- Operationalizing needs-focused palliative care for older adults in intensive care units: Design of and rationale for the PCplanner randomized clinical trial.Contemporary clinical trials · 2020Article
- [Geriatric intensive care : Consensus paper of DGIIN, DIVI, DGAI, DGGG, ÖGGG, ÖGIAIN, DGP, DGEM, DGD, DGNI, DGIM, DGKliPha and DGG].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Review
- Supporting the Geriatric Critical Care Patient: Decision Making, Understanding Outcomes, and the Role of Palliative Care.Anesthesiology clinics · 2019Review
- [Geriatric intensive care : Consensus paper of DGIIN, DIVI, DGAI, DGGG, ÖGGG, ÖGIAIN, DGP, DGEM, DGD, DGNI, DGIM, DGKliPha and DGG].Zeitschrift fur Gerontologie und Geriatrie · 2019Article
- Long-Term Acute Care Hospital Use of Non-Mechanically Ventilated Hospitalized Older Adults.Journal of the American Geriatrics Society · 2018Observational
- Association between the Availability of Hospital-based Palliative Care and Treatment Intensity for Critically Ill Patients.Annals of the American Thoracic Society · 2018Article
- Predictors of Posthospital Transitions of Care in Patients With Advanced Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Article
- The Frailty Phenotype and Palliative Care Needs of Older Survivors of Critical Illness.Journal of the American Geriatrics Society · 2017Article
- Hospital Palliative Care Teams and Post-Acute Care in Nursing Facilities: An Integrative Review.Research in gerontological nursing · 2017Review
- Measuring and predicting long-term outcomes in older survivors of critical illness.Minerva anestesiologica · 2015Review
- Estimates of the need for palliative care consultation across united states intensive care units using a trigger-based model.American journal of respiratory and critical care medicine · 2014Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
rationaleAdults with chronic critical illness (tracheostomy after ≥ 10 d of mechanical ventilation) have a high burden of palliative needs, but little is known about the actual use and potential need of palliative care services for the larger population of older intensive care unit (ICU) survivors discharged to post-acute care facilities.
objectivesTo determine whether older ICU survivors discharged to post-acute care facilities have potentially unmet palliative care needs.
methodsWe examined electronic records from a 1-year cohort of 228 consecutive adults ≥ 65 years of age who had their first medical-ICU admission in 2009 at a single tertiary-care medical center and survived to discharge to a post-acute care facility (excluding hospice). Use of palliative care services was defined as having received a palliative care consultation. Potential palliative care needs were defined as patient characteristics suggestive of physical or psychological symptom distress or anticipated poor prognosis. We examined the prevalence of potential palliative needs and 6-month mortality. MEASUREMENTS AND MAIN
resultsThe median age was 78 years (interquartile range, 71-84 yr), and 54% received mechanical ventilation for a median of 7 days (interquartile range, 3-16 d). Six subjects (2.6%) received a palliative care consultation during the hospitalization. However, 88% had at least one potential palliative care need; 22% had chronic wounds, 37% were discharged on supplemental oxygen, 17% received chaplaincy services, 23% preferred to not be resuscitated, and 8% were designated "comfort care." The 6-month mortality was 40%.
conclusionsOlder ICU survivors from a single center who required postacute facility care had a high burden of palliative care needs and a high 6-month mortality. The in-hospital postcritical acute care period should be targeted for palliative care assessment and intervention.
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