Evidence map›Paper›PMID 40308711›Full record

ArticlePalliative medicine reports2025

The Effect of a Best Practice Advisory on the Utilization and Impact of Palliative Care Consultation in Heart Failure Hospitalizations.

Kaitlyn S Gooding, Vamsidhar V Naraparaju, Beth Esstman, Dorothy B Wakefield, Megan Evjen, Ahmed Naseer, Sara Tabtabai

Abstract read
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In one paragraph

Article in Palliative medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kaitlyn S GoodingDepartment of Internal Medicine, University of Connecticut, Farmington, Connecticut, USA.
Vamsidhar V NaraparajuDepartment of Internal Medicine, University of Connecticut, Farmington, Connecticut, USA.
Beth EsstmanDepartment of Cardiology, St Francis Hospital and Medical Center, Hartford, Connecticut, USA.
Dorothy B WakefieldUniversity of Connecticut, Farmington, Connecticut, USA.
Megan EvjenDepartment of Cardiology, St Francis Hospital and Medical Center, Hartford, Connecticut, USA.
Ahmed NaseerDepartment of Internal Medicine, University of Connecticut, Farmington, Connecticut, USA.
Sara TabtabaiYale University School of Medicine, New Haven, Connecticut, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Few studies examine palliative care consultations (PCC) in acute decompensated heart failure (ADHF) admissions. Prior data suggest that 6% of admitted patients are referred for PCC. This study evaluates the effect of a best practice alert (BPA) embedded in the electronic record on PCC utilization and outcomes. Methods: Patients admitted between May 1, 2020, and June 30, 2022, with ADHF were included. BPA was triggered at admission for patients with ≥3 ADHF admissions in 6 months or PCC during prior admission. Subjects were divided into early PCC (less than three days of admission), late PCC (more than three days), and no PCC. Demographics, BPA utilization, length of stay (LOS), and cost were compared between groups. Results: Of 684 patients, 18% received PCC: 13.1% had early PCC, 5.12% late PCC, and 81.6% no PCC. Early PCC patients were older with more comorbidities. Patients receiving PCC had lower ejection fraction ( Conclusions: PCC may influence therapy for patients with ADHF and reduce the readmission rate. Clinician biases remain despite the utilization of BPA, with a modest effect on PCC utilization.

Indexed as

advanced heart failurebest practice advisoryheart failurepalliative care

Identifiers

PMID40308711
PMCPMC12040558

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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.