ArticleProceedings (Baylor University. Medical Center)2026
Palliative care documentation in gastrointestinal bleeding hospitalizations: national trends and associated care patterns.
Article in Proceedings (Baylor University. Medical Center), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Researching palliative care documentation outcomes: coding alone fails to find the true bleeder.Proceedings (Baylor University. Medical Center) · 2026Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGastrointestinal bleeding (GIB) often affects older, medically complex patients, yet national patterns of inpatient palliative care documentation in GIB are unknown. We aimed to characterize trends and factors associated with palliative care documentation and examine associated inpatient care and outcome patterns.
methodsWe conducted a retrospective serial cross-sectional study of adult principal-diagnosis upper or lower GIB hospitalizations in the 2016 to 2022 National Inpatient Sample. Documentation was defined by ICD-10-CM Z51.5 in any diagnosis field. Survey-weighted regression assessed associated factors and inpatient outcomes.
resultsAmong 2,435,099 weighted hospitalizations, palliative care documentation was present in 65,675 (2.70%), increasing from 2.13% in 2016 to 3.43% in 2022. Associated factors included metastatic cancer (adjusted odds ratio [aOR], 8.276), age ≥85 years (aOR, 5.626), respiratory failure (aOR, 3.159), and dementia (aOR, 3.101). Relative to the White category, Black (aOR, 0.802) and Hispanic (aOR, 0.791) categories had lower adjusted odds. Documentation was associated with lower odds of endoscopy but higher odds of mechanical ventilation and renal replacement therapy. Among in-hospital decedents, coded do-not-resuscitate status was more frequent (80.2% vs 40.5%), and several treatments were less frequent. Adjusted length of stay and hospital charges were 4.3% and 1.1% higher, respectively.
conclusionsPalliative care documentation was uncommon and concentrated in higher-acuity hospitalizations. Because the code does not identify provider specialty, timing, or content, patterns are associations rather than effects and require validation in clinically richer data.
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