End-of-Life Care in Hospitalized Patients with Cardiovascular and Cerebrovascular Disease

2014 ◽  
pp. 51-69
Author(s):  
Pablo Díez-Villanueva ◽  
Manuel Martínez-Sellés
Keyword(s):  
Cerebrovascular Disease ◽  
End Of Life ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care

scholarly journals Understanding Racial And Ethnic Differences In End of Life Care For Hospitalized Patients

2016 ◽  
Vol 19 (7) ◽  
pp. A622-A623
Author(s):  
TJ Johnson ◽  
S O'Mahony ◽  
S Levine ◽  
SM Walton ◽  
A Baron
Keyword(s):  
End Of Life ◽  
Ethnic Differences ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care ◽  
Racial And Ethnic Differences

scholarly journals Can “Palliative Care Reports” Improve End-of-Life Care for Hospitalized Patients?

2002 ◽  
Vol 24 (3) ◽  
pp. 299-311 ◽  
Author(s):  
Laurie G Jacobs ◽  
Karen Bonuck ◽  
William Burton
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care

Multidrug-resistant bacterial microorganisms (MDRO) in end-of-life care: development of recommendations for hospitalized patients using a mixed-methods approach

2018 ◽  
Vol 26 (9) ◽  
pp. 3021-3027 ◽  
Author(s):  
Maria Heckel ◽  
Stephanie Stiel ◽  
Franziska A. Herbst ◽  
Johanna M. Tiedtke ◽  
Alexander Sturm ◽  
...  
Keyword(s):  
Mixed Methods ◽  
End Of Life ◽  
End Of Life Care ◽  
Multidrug Resistant ◽  
Hospitalized Patients ◽  
Life Care ◽  
Mixed Methods Approach ◽  
Care Development

End-of-life care for hospitalized patients with metastatic melanoma in France: a nationwide, register-based study

2016 ◽  
Vol 175 (3) ◽  
pp. 583-592 ◽  
Author(s):  
I. Gallais Sérézal ◽  
Y. Beaussant ◽  
P. Rochigneux ◽  
C. Tournigand ◽  
R. Aubry ◽  
...  
Keyword(s):  
Metastatic Melanoma ◽  
End Of Life ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care

scholarly journals Development of Imminent Mortality Predictor for Advanced Cancer (IMPAC), a Tool to Predict Short-Term Mortality in Hospitalized Patients With Advanced Cancer

2018 ◽  
Vol 14 (3) ◽  
pp. e168-e175 ◽  
Author(s):  
Kerin Adelson ◽  
Donald K.K. Lee ◽  
Salimah Velji ◽  
Junchao Ma ◽  
Susan K. Lipka ◽  
...  
Keyword(s):  
Life Expectancy ◽  
End Of Life ◽  
Advanced Cancer ◽  
Median Survival ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care ◽  
Short Term ◽  
Prognostic Tool ◽  
Short Term Mortality

Purpose: End-of-life care for patients with advanced cancer is aggressive and costly. Oncologists inconsistently estimate life expectancy and address goals of care. Currently available prognostication tools are based on subjective clinical assessment. An objective prognostic tool could help oncologists and patients decide on a realistic plan for end-of-life care. We developed a predictive model (Imminent Mortality Predictor in Advanced Cancer [IMPAC]) for short-term mortality in hospitalized patients with advanced cancer. Methods: Electronic health record data from 669 patients with advanced cancer who were discharged from Yale Cancer Center/Smilow Cancer Hospital were extracted. Statistical learning techniques were used to develop a tool to estimate survival probabilities. Patients were randomly split into training (70%) and validation (30%) sets 20 times. We tested the predictive properties of IMPAC for mortality at 30, 60, 90, and 180 days past the day of admission. Results: For mortality within 90 days at a 40% sensitivity level, IMPAC has close to 60% positive predictive value. Patients estimated to have a greater than 50% chance of death within 90 days had a median survival time of 47 days. Patients estimated to have a less than 50% chance of death had a median survival of 290 days. Area under the receiver operating characteristic curve for IMPAC averaged greater than .70 for all time horizons tested. Estimated potential cost savings per patient was $15,413 (95% CI, $9,162 to $21,665) in 2014 constant dollars. Conclusion: IMPAC, a novel prognostic tool, can generate life expectancy probabilities in real time and support oncologists in counseling patients about end-of-life care. Potentially avoidable costs are significant.

scholarly journals Resource Utilization in Hospitalized Patients With Cancer From Hospice Decision to Discharge and Provider-Type Differences

2019 ◽  
Vol 37 (7) ◽  
pp. 503-506
Author(s):  
Ruchi J. Shah ◽  
Deborah Korenstein ◽  
Jessica R. Flynn ◽  
Douglas J. Koo
Keyword(s):  
End Of Life ◽  
Resource Utilization ◽  
End Of Life Care ◽  
Quality Metrics ◽  
Hospitalized Patients ◽  
House Staff ◽  
Cancer Center ◽  
Life Care ◽  
Provider Type ◽  
Patients With Cancer

Aggressive resource utilization for patients with cancer at the end of life has been associated with poor outcomes for patients and their families. To our knowledge, no previous studies have characterized resource utilization as a proxy for quality end-of-life care in hospitalized patients awaiting discharge to hospice by physician and advanced practice providers (APPs). We conducted a retrospective cohort study to examine resource utilization and the quality metrics for end-of-life care in patients at Memorial Sloan Kettering Cancer Center from the date of hospice decision to discharge. Patients under the care of APP teams were less likely to receive laboratory testing (50% vs 59%, P = .046) and received fewer tests than those with house staff teams, though performance on end-of-life quality metrics was similar. Our findings suggest APPs may improve quality of end-of-life care by avoiding unnecessary or aggressive measures compared to house staff.

End of Life Care in Hospitalized Patients With Lung Cancer

2022 ◽  
Vol 112 (2) ◽  
pp. e18
Author(s):  
T.S. Brown ◽  
U. Grewal ◽  
S.R. Thotamgari ◽  
A.K. Ananthaneni ◽  
C. Burnett ◽  
...  
Keyword(s):  
Lung Cancer ◽  
End Of Life ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care

scholarly journals Palliative Care Use and Patterns of End-of-Life Care in Hospitalized Patients With Calciphylaxis

2019 ◽  
Vol 57 (2) ◽  
pp. e1-e3 ◽  
Author(s):  
Kabir O. Olaniran ◽  
Shananssa G. Percy ◽  
Sophia Zhao ◽  
Chantal Blais ◽  
Vicki Jackson ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Hospitalized Patients ◽  
Life Care

scholarly journals End-of-Life Care for Hospitalized Patients with Lung Cancer: Utilization of a Palliative Care Service

2010 ◽  
Vol 13 (10) ◽  
pp. 1261-1266 ◽  
Author(s):  
Barbara Reville ◽  
Marshal N. Miller ◽  
Richard W. Toner ◽  
JoAnne Reifsnyder
Keyword(s):  
Lung Cancer ◽  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Care Service ◽  
Palliative Care Service ◽  
Hospitalized Patients ◽  
Life Care
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