Evidence map›Paper›PMID 34886271›Full record

Observational studyInternational journal of environmental research and public health2021

Differences in Characteristics, Hospital Care, and Outcomes between Acute Critically Ill Emergency Department Patients Receiving Palliative Care and Usual Care.

Julia Chia-Yu Chang, Che Yang, Li-Ling Lai, Hsien-Hao Huang, Shih-Hung Tsai, Teh-Fu Hsu, David Hung-Tsang Yen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Julia Chia-Yu ChangDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
Che YangDepartment of Nursing, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
Li-Ling LaiDepartment of Nursing, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
Hsien-Hao HuangDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
Shih-Hung TsaiDepartment of Emergency Medicine, National Defense Medical Center, Taipei 11490, Taiwan.ORCID 0000-0003-0215-3193
Teh-Fu HsuDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
David Hung-Tsang YenDepartment of Emergency Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan.
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWNational Defense Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe early integration of palliative care in the emergency department (ED-PC) provides several benefits, including improved quality of life with optimal comfort measures, and symptom control. Whether palliative care could affect the intensive care unit admissions, hospital care and resource utilization requires further investigation.

aimTo determine the differences in inpatient characteristics, hospital care, survival, and resource utilization between patients receiving palliative care (ED-PC) and usual care (UC).

designRetrospective observational study. SETTING/

participantsWe enrolled consecutive, acute, critically ill patients admitted to the emergency intensive care unit at Taipei Veterans General Hospital from 1 February 2018 to 31 January 2020.

resultsA total of 1273 patients were evaluated for unmet palliative care needs; 685 patients received ED-PC and 588 received UC. The palliative care patients were more severely frail (AOR 2.217 (1.295-3.797),

conclusionAcute critically ill patients receiving palliative care were more frail, more critical, and had higher in-hospital mortality. Palliative care patients received less epinephrine, more endotracheal extubation, and more narcotics. There was no difference in the hospital LOS or hospital costs between the palliative and usual care groups. The synthesis of ED-PC is new but achievable with potential benefits to align care with patient goals.

Indexed as

Critical IllnessPalliative CareEmergency Service, HospitalHospitalsHumansIntensive Care UnitsLength of StayQuality of LifeRetrospective Studiesemergency departmentend-of-life carepalliative care

Identifiers

PMID34886271
PMCPMC8656613
OpenAlexW3217624186

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.