ArticleBMC palliative care2021
Enhanced home palliative care could reduce emergency department visits due to non-organic dyspnea among cancer patients: a retrospective cohort study.
Article in BMC palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 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
- Understanding oncologic emergencies and related emergency department visits and hospitalizations: a systematic review.BMC emergency medicine · 2025Pooled it
- Drivers of Emergency Department Use Among Oncology Patients in the Era of Novel Cancer Therapeutics: A Systematic Review.The oncologist · 2023Pooled it
- Strategy to Control Biases in Prior Event Rate Ratio Method, With Application to Palliative Care in Patients With Advanced Cancer.Statistics in medicine · 2026Article
- Reasons for unplanned hospitalisation in specialist community palliative care: a scoping review.BMC palliative care · 2025Article
- Reverse Time-to-Death as Time-Scale in Time-to-Event Analysis for Studies of Advanced Illness and Palliative Care.Statistics in medicine · 2025Article
- Differences in the palliative care phase between patients with nonmalignant pulmonary disease and lung cancer: a retrospective study.BMC palliative care · 2024Article
- A questionnaire survey on the implementation of palliative care in the emergency department in China.BMC palliative care · 2024Article
- Avoidable emergency department visits among palliative care cancer patients: novel insights from Saudi Arabia and the Middle East.BMC palliative care · 2024Article
- Acceptability of the palliative dyspnoea protocol by emergency clinicians.BMJ supportive & palliative care · 2024Article
- Article
- Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study.Internal and emergency medicine · 2023Article
- Current Management Options for Dyspnea in Cancer Patients.Current treatment options in oncology · 2023Review
- Acute home-based care for patients with cancer to avoid, substitute, and follow emergency department visits: a conceptual framework using Porter's Five Forces.Emergency cancer care · 2022Article
- Examining the Influence of Integrated Home and Community Care Programs on Quadruple Aim and Health Equity Outcomes Across the Health Care System: A Scoping Review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDyspnea is a common trigger of emergency department visits among terminally ill and cancer patients. Frequent emergency department (ED) visits at the end of life are an indicator of poor-quality care. We examined emergency department visit rates due to dyspnea symptoms among palliative patients under enhanced home palliative care.
methodsOur home palliative care team is responsible for patient management by palliative care specialists, residents, home care nurses, social workers, and chaplains. We enhanced home palliative care visits from 5 days a week to 7 days a week, corresponding to one to two extra visits per week based on patient needs, to develop team-based medical services and formulate standard operating procedures for dyspnea care.
resultsOur team cared for a total of 762 patients who exhibited 512 ED visits, 178 of which were due to dyspnea (mean ± SD age, 70.4 ± 13.0 years; 49.4% male). Dyspnea (27.8%) was the most common reason recorded for ED visits, followed by pain (19.0%), GI symptoms (15.7%), and fever (15.3%). The analysis of Group A versus Group B revealed that the proportion of nonfamily workers (42.9% vs. 19.4%) and family members (57.1% vs. 80.6%) acting as caregivers differed significantly (P < 0.05). Compared to the ED visits of the Group A, the risk was decreased by 30.7% in the Group B (P < 0.05).
conclusionsThis study proves that enhanced home palliative care with two additional days per week and formulated standard operating procedures for dyspnea could significantly reduce the rate of ED visits due to non-organic dyspnea during the last 6 months of life.
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