ArticleJACC. Heart failure2019
Factors Associated With Live Discharge of Heart Failure Patients From Hospice: A Multimethod Study.
Article in JACC. Heart failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Reasons for patients in high income countries accessing hospital care while receiving specialist community palliative care: A systematic review and meta-ethnography.Palliative medicine · 2026Pooled it
- Hispanics and Hospice: A Systematic Literature Review.The American journal of hospice & palliative care · 2023Pooled it
- Influence of Social Determinants of Health on Heart Failure Outcomes: A Systematic Review.Journal of the American Heart Association · 2023Pooled it
- Factors associated with hospitalisations of patients with chronic heart failure approaching the end of life: A systematic review.Palliative medicine · 2022Pooled it
- Reasons for unplanned hospitalisation in specialist community palliative care: a scoping review.BMC palliative care · 2025Article
- Top Ten Tips Palliative Care Clinicians Should Know About Hospice Live Discharge.Journal of palliative medicine · 2025Article
- Naming racism as a root cause of inequities in palliative care research: a scoping review.BMC palliative care · 2024Article
- Live hospice discharge: Experiences of families, and hospice staff.Patient education and counseling · 2021Article
- Eliciting the educational needs and priorities of home care workers on end-of-life care for patients with heart failure using nominal group technique.Palliative medicine · 2021Article
- The Time is Now: Informatics Research Opportunities in Home Health Care.Applied clinical informatics · 2021Article
- The Development and Implementation of a Cardiac Home Hospice Program: Results of a RE-AIM Analysis.The American journal of hospice & palliative care · 2020Article
- Building trust and facilitating goals of care conversations: A qualitative study in people with heart failure receiving home hospice care.Palliative medicine · 2020Article
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesThis study identified sociodemographic and clinical factors that predicted live discharge among home hospice patients with heart failure, and related these findings to perspectives among health care providers about challenges to caring for these patients.
backgroundHospice patients with heart failure are frequently discharged from hospice before death ("live discharge"). However, little is known about the factors and circumstances associated with live discharge among patients with heart failure.
methodsQuantitative analyses of patient medical records (N = 1,498) and qualitative interviews were performed with health care providers (n = 19) at a not-for-profit hospice agency in New York City.
resultsThirty percent of home hospice patients with heart failure experienced a live discharge, most frequently due to 911 calls that led to acute hospitalization. The odds of acute hospitalization were higher for younger patients (age 18 to 74 years: adjusted odds ratio [AOR]: 2.10; 95% confidence interval [CI]: 1.34 to 3.28), African American (AOR: 2.06; 95% CI: 1.31 to 3.24) or Hispanic (AOR: 2.99; 95% CI: 1.99 to 4.50) patients, and higher functioning patients (Palliative Performance Scores of 50% to 70%; AOR: 5.68; 95% CI: 3.66 to 8.79). Qualitative interviews with health care providers highlighted the unique characteristics of heart failure (e.g., sudden changes in patients' condition), the importance of patients' understanding of hospice and their own prognosis, and the role of sociocultural and family context in precipitating and potentially preventing live discharge (e.g., absence of social supports in the home).
conclusionsLive discharge from hospice, especially due to acute hospitalization, is common with heart failure. Greater attention is needed for patients' knowledge of and readiness for hospice care, especially among younger and diverse populations, and for factors related to the social and family context in which hospice care is provided.
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