ArticleJournal of the American Geriatrics Society2018
Clinical Intentions of Antibiotics Prescribed Upon Discharge to Hospice Care.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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
11 citing papers in PubMed, 27 citations in OpenAlex.
- Antimicrobials in serious illness and end-of-life care: lifting the veil of silence.The Lancet. Infectious diseases · 2025Review
- Current trends in antimicrobial use and the role of antimicrobial stewardship in palliative oncology: a narrative review.BMC palliative care · 2025Review
- A case-control study of end-of-life antimicrobial use in Non-hospitalized hospice patients in the United States.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Attitudes towards antibiotic use in end-of-life care: a nationwide Italian physician survey.Le infezioni in medicina · 2025Article
- Ethical and Practical Issues with the Use of Antimicrobial Agents during the End of Life.Journal of hospice and palliative care · 2024Article
- Use of Antibiotics Within the Last 14 Days of Life in Korean Patients: A Nationwide Study.Journal of Korean medical science · 2023Article
- Frontiers in antimicrobial stewardship: antimicrobial use during end-of-life care.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023Article
- Perceptions and Reality of Antimicrobial Prescribing During the Transition to Comfort Measures Only at an Academic Medical Center.Open forum infectious diseases · 2023Article
- The Use of Antibiotics in Hospice and Palliative Care Settings.Journal of hospice and palliative care · 2022Article
- Association of Physician Orders for Life-Sustaining Treatment With Inpatient Antimicrobial Use at End of Life in Patients With Cancer.Open forum infectious diseases · 2021Article
- Variations in Physician Orders for Life-Sustaining Treatment Program across the Nation: Environmental Scan.Journal of palliative medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo better understand the clinical intentions for antibiotic prescribing upon discharge from acute care to hospice care.
designRetrospective cohort study.
settingFive hundred forty-four-bed academic, acute-care, tertiary referral hospital in Portland, Oregon.
participantsAdults (≥18) who received an outpatient prescription for antibiotics on discharge from an acute care hospital to hospice care between January 1, 2009 and December 31, 2011 (N = 149). MEASUREMENTS: We determined whether antibiotics were indicated for treatment of an active infection, palliative treatment, prophylaxis, or prescribed according to family or participant preference.
resultsAntibiotics were prescribed to 17.6% (n = 149) of individuals discharged to hospice care over the 3-year study period. Antibiotics were most frequently prescribed for pneumonia (19.5%), urinary tract infections (18.9%), and gastrointestinal tract infections (17.0%). The explicit rationale for antibiotic prescription was documented for only 72 prescriptions (45.3%). For 84 (52.8%) participants, antibiotics were used to treat an active infection in the hospital. Of prescriptions with a documented rationale, 37.5% indicated that the intent was curative, 26.4% prophylaxis, and 22.2% to suppress an infection. For 19.4% of prescriptions, participants or their family members specifically wanted to be treated with antibiotics. Only 9.7% of prescriptions specifically indicated that antibiotics were prescribed for palliative reasons.
conclusionAntibiotics were frequently prescribed for treatment of active infection in individuals discharged to hospice care. Further research is needed to document antibiotic benefits and risks and optimize medication management at the end of life.
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Registered trials
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.