ArticleAmerican journal of respiratory and critical care medicine2014
Estimates of the need for palliative care consultation across united states intensive care units using a trigger-based model.
Article in American journal of respiratory and critical care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02955563 (CSDM), which is not on this map. Cited by 75 papers, 1 of them a synthesis that pooled it.
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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.
CSDM: A Trial to Improve Communication and Shared Decision Making Using a Web-Based Tool
Who cites it
75 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Integration of palliative care into intensive care : Systematic review].Der Anaesthesist · 2017Pooled it
- Mobile App-Facilitated Collaborative Palliative Care Intervention for Critically Ill Older Adults: A Randomized Clinical Trial.JAMA internal medicine · 2025Trial
- Mobile Application-Based Communication Facilitation Platform for Family Members of Critically Ill Patients: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Efficacy of a Communication-Priming Intervention on Documented Goals-of-Care Discussions in Hospitalized Patients With Serious Illness: A Randomized Clinical Trial.JAMA network open · 2022Trial
- A Pilot Randomized Trial of an Interactive Web-based Tool to Support Surrogate Decision Makers in the Intensive Care Unit.Annals of the American Thoracic Society · 2021Trial
- Trial
- Quality of dying in the ICU: is it worse for patients admitted from the hospital ward compared to those admitted from the emergency department?Intensive care medicine · 2014Trial
- Intensivists' Perspectives and Practices on Palliative Care in the ICU: A Nationwide Survey in Korea.Journal of Korean medical science · 2026Article
- Palliative Care Involvement in Relation to Rapid Response Events: A Focus on Care Intensity at the End of Life.Critical care explorations · 2026Article
- Trigger-Based Referral and Needs Assessment in the Intensive Care Unit: A Narrative Review and Conceptual Synthesis.Healthcare (Basel, Switzerland) · 2026Review
- Racial and Socioeconomic Disparities in Palliative Care Utilization Among Patients with In-Hospital Mortality After Mechanical Thrombectomy for Stroke.Neurocritical care · 2026Article
- [Ethically challenging determination of treatment goals in the intensive care unit: reasons, frequency and possible solutions].Die Anaesthesiologie · 2026Review
- Specialist palliative care in different intensive care unit populations: a retrospective longitudinal study.BMC palliative care · 2026Article
- The use of bioethical decision-making framework in the ICU of a public Brazilian hospital: a retrospective observational case series.BMC medical ethics · 2026Observational
- Mapping of key performance indicators for palliative care in intensive care settings: A scoping review protocol.HRB open research · 2026Article
- Advancing palliative care in cardiac arrest and cardiogenic shock: identifying evidence gaps and future research priorities.Frontiers in cardiovascular medicine · 2026Review
- Development and validation of a prediction score for early identification of palliative care needs for patients in the intensive care unit: a multicentre retrospective cohort study.EClinicalMedicine · 2025Article
- Utilising Palliative Care Expertise in Critically Ill Patients: Opportunities to Improve Outcomes and Experiences.Journal of clinical medicine · 2025Article
- Article
- From Screening to Outcomes: Rethinking Palliative Care Metrics in the Intensive Care Unit.Annals of the American Thoracic Society · 2025Article
15 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
rationaleUse of triggers for palliative care consultation has been advocated in intensive care units (ICUs) to ensure appropriate specialist involvement for patients at high risk of unmet palliative care needs. The volume of patients meeting these triggers, and thus the potential workload for providers, is unknown.
objectivesTo estimate the prevalence of ICU admissions who met criteria for palliative care consultation using different sets of triggers.
methodsRetrospective cohort study of ICU admissions from Project IMPACT for 2001-2008. We assessed the prevalence of ICU admissions meeting one or more primary palliative care triggers, and prevalence meeting any of multiple sets of triggers. MEASUREMENTS AND MAIN
resultsOverall, 53,124 (13.8%) ICU admissions met one or more primary triggers for palliative care consultation. Variation in prevalence was minimal across different types of units (mean 13.3% in medical ICUs to 15.8% in trauma/burn ICUs; P = 0.41) and individual units (mean 13.8%, median 13.0%, interquartile range, 10.2-16.5%). A comprehensive model combining multiple sets of triggers identified a total of 75,923 (19.7%) ICU admissions requiring palliative care consultation; of them, 85.4% were captured by five triggers: (1) ICU admission after hospital stay greater than or equal to 10 days, (2) multisystem organ failure greater than or equal to three systems, (3) stage IV malignancy, (4) status post cardiac arrest, and (5) intracerebral hemorrhage requiring mechanical ventilation.
conclusionsApproximately one in seven ICU admissions met triggers for palliative care consultation using a single set of triggers, with an upper estimate of one in five patients using multiple sets of triggers; these estimates were consistent across different types of ICUs and individual units. These results may inform staffing requirements for providers to ensure delivery of specialized palliative care to ICU patients nationally.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.