ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019
Association of emergency department admission and early inpatient palliative care consultation with hospital mortality in a comprehensive cancer center.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 30 citations in OpenAlex.
- Palliative care nursing roles in the acute inpatient setting: A scoping review.Palliative & supportive care · 2025Article
- Defining "early palliative care" for adults diagnosed with a life-limiting illness: a scoping review.BMC palliative care · 2025Article
- Article
- Comparison of resuscitation intervention utilization in the emergency department by palliative care eligible patients between cancer and non-cancer.Scientific reports · 2024Article
- Unlocking timely palliative care: assessing referral practices and barriers at a ghanaian teaching hospital.BMC palliative care · 2024Article
- Outcomes of Patients Placed in an Emergency Department Observation Unit of a Comprehensive Cancer Center.JCO oncology practice · 2022Observational
- Prior Frequent Emergency Department Use as a Predictor of Emergency Department Visits After a New Cancer Diagnosis.JCO oncology practice · 2021Article
- Emergency Department as the Entry Point to Inpatient Care: A Nationwide, Population-Based Study in South Korea, 2016-2018.Journal of clinical medicine · 2021Article
- Causes for Emergency Hospitalization of Neurological Patients With Palliative Care Needs.Frontiers in neurology · 2021Article
- Risky Behavior: Hospital Transfers Associated with Early Mortality and Rates of Goals of Care Discussions.The western journal of emergency medicine · 2020Article
- Outcomes of Palliative Care Consultations for Hospitalized Patients With Liver Disease.Journal of pain and symptom management · 2019Observational
- Determining the Association Between End-of-Life Care Resources and Patient Outcomes in Pennsylvania ICUs.Critical care medicine · 2019Article
- Symptoms, Electrolyte Disturbances and Serum Albumin Levels in Palliative Oncology Patients Admitted Through Emergency: Characteristics and Survival Outcomes.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeConsultation to palliative care (PC) services in hospitalized patients is frequently late after admission to a hospital. The purpose of this study is to examine the association of in-hospital mortality and timing of palliative care consultation in cancer patients admitted through the emergency department (ED) of MD Anderson Cancer Center.
methodsInstitutional databases were queried for unique medical admissions over a period of 1 year. Primary cancer type, ED versus direct admission, length of stay (LOS), presenting symptoms, and in-hospital mortality were reviewed; patient data were analyzed, and risk factors for in-hospital mortality were identified. The association of early palliative care consultation (within 3 days of admission) with these outcomes was studied. Descriptive statistics and multivariate logistic regression model were used.
resultsEqual numbers of patients were admitted directly versus through the ED (7598 and 7538 respectively). However, of all patients who died in the hospital, 990 (88%) were admitted through the ED, compared with 137 admitted directly (P < 0.001). Patients who died in the hospital had longer median LOS compared with patients who were discharged alive (11 vs. 4 days, respectively, P < 0.001). Early palliative care consultation was associated with decreased mortality, compared with late consultation (P < 0.001). Chief complaints of respiratory problems, neurologic issues, or fatigue/weakness were significantly associated with in-hospital mortality.
conclusionWe found an association between ED admission and hospital mortality. Decedent cancer patients had a prolonged LOS, and early palliative care consultation for terminally ill symptomatic patients may prevent in-hospital mortality and improve quality of cancer care.
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