The triad that matters: palliative medicine, code status, and health care costs.
Am J Hosp Palliat Care
; 27(6): 398-401, 2010 Sep.
Article
em En
| MEDLINE
| ID: mdl-20332499
ABSTRACT
INTRODUCTION:
Delayed discussion of a patient's code status can lead to shortsighted care plans that increase hospital length of stay (LOS) and costs.METHODS:
Retrospective study compared intensive care unit (ICU) patients who accepted verses rejected palliation and examined the relationships between 5 predictor variables with the outcome variables ICU LOS and total hospital LOS, and total direct and variable hospital cost.RESULTS:
A significant number of patients who accepted palliative care agreed to a hospice referral or expired in the hospital. The relationships between days until a family conference, do-not-resuscitate (DNR) order, and the number of invasive procedures were significant.CONCLUSIONS:
The amount of time that expires until the issue of code status was settled to clearly related to utilization of hospital resources.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article