ArticleInternal and emergency medicine2026
Effect of a multi-component palliative care intervention on goals of care discussions for critical patients in the emergency department.
Julia Murray, Zacharia Grami, Katherine Benson, Christopher Hritz, Samantha Lawson, Corita Reilley Grudzen, Allison Cuthel, Lauren Talanda-Fath Southerland
Abstract read
In one paragraphArticle in Internal and emergency medicine, 2026. 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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2 · The registryThe trial behind it
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4 · The recordCorrections and comments
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5 · Who and what moneyAuthors and funding
8 authors.
Julia MurrayThe Ohio State University College of Medicine, Columbus, OH, USA.
Zacharia GramiDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, 750 Prior Hall, 376 W 10th Ave, Columbus, OH, 43210, USA.
Katherine BensonThe Ohio State University College of Medicine, Columbus, OH, USA.
Christopher HritzDivision of Palliative Medicine, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Samantha LawsonDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, 750 Prior Hall, 376 W 10th Ave, Columbus, OH, 43210, USA.
Corita Reilley GrudzenDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Allison CuthelDepartment of Palliative Medicine, NYU Langone Health, New York, NY, USA.
Lauren Talanda-Fath SoutherlandDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, 750 Prior Hall, 376 W 10th Ave, Columbus, OH, 43210, USA. Lauren.Southerland@osumc.edu.ORCID http://orcid.org/0000-0002-3561-8332 Funding
X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4MThe Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6MNIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5MPrimary Palliative Care for Emergency MedicineUH3AT009844 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GOLDFELD, KEITH, GRUDZEN, CORITA R · 2019 to 2022
$7.9MMultidisciplinary Clinical and Translational Science (MCTS) Program (KL2)KL2TR000107 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$1.1MPrimary Palliative Care for Emergency MedicineUG3AT009844 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GRUDZEN, CORITA R · 2018 to 2018
$984knational institutes of health health care systems research collaboratory UG3AT009844NCATS NIH HHS KL2 TR000107NCATS NIH HHS UL1TR00107NCATS NIH HHS UL1 TR001070NCCIH NIH HHS U24 AT009676NCCIH NIH HHS UG3 AT009844NCCIH NIH HHS UH3 AT009844NCI NIH HHS P30 CA008748nih collaboratory coordinating center U24AT009676
6 · The paper itselfAbstract
Goals of care (GOC) discussions are vital to understanding patients' values and preferences during serious illness, but they occur infrequently during Emergency Department (ED) care. We report a single site sub-study of a stepped wedge pragmatic trial of a multi-component intervention of primary palliative care in the ED (PRIM-ER), focused on GOC conversations. A retrospective cohort study of ED patients who either died or had a referral to hospice within 48 h or were admitted to an Intensive Care Unit (ICU). The PRIM-ER intervention consisted of: (1) evidence-based multidisciplinary education; (2) simulation-based workshops on serious illness communication; (3) clinical decision support; and (4) audit and feedback. The pre-intervention period was September 2018-August 2019 and the post-intervention period was November 2019-April 2020. Of the 153 included cases, 76 (49.7%) were pre-intervention and 77 (50.3%) were post-intervention. Only 6.5% (n = 10) had a Do Not Resuscitate order prior to the ED visit. The intervention did not change the proportion of patients receiving a GOC conversation in the ED (38.2% vs 40.3%, χ
Indexed as
Palliative CarePatient Care PlanningAgedAged, 80 and overCohort StudiesCommunicationEmergency Service, HospitalFemaleHumansMaleMiddle AgedRetrospective StudiesAdvance care planningElectronic health recordsEmergency departmentHealthcare power of attorneyPalliative medicineQuality improvement
Identifiers
PMID40699283
PMCPMC13263271
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