2023
Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure
Patel A, Walling A, Kanwal F, Serper M, Hernaez R, Sundaram V, Kaplan D, Taddei T, Mahmud N. Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure. JHEP Reports 2023, 6: 100976. PMID: 38274489, PMCID: PMC10808910, DOI: 10.1016/j.jhepr.2023.100976.Peer-Reviewed Original ResearchSpecialty palliative care consultationPalliative care consultationChronic liver failureFacility-level variationCare consultationsLiver failurePalliative careTime of deathACLF-3Significant facility-level variationRetrospective cohort studyTiming of consultationFacility factorsMixed-effects regression analysisQuality improvement effortsACLF gradeACLF-1ACLF-2Acute hospitalizationCohort studyIll patientsACLFGrade 3Hepatocellular carcinomaSick patientsAssociation of palliative care and hospital outcomes among solid tumour oncology inpatients
Im J, Chow R, Novosel M, Xiang J, Strait M, Rao V, Kapo J, Zimmermann C, Prsic E. Association of palliative care and hospital outcomes among solid tumour oncology inpatients. BMJ Supportive & Palliative Care 2023, 14: e1349-e1353. PMID: 36849221, DOI: 10.1136/spcare-2023-004207.Peer-Reviewed Original ResearchPalliative care consultationInpatient palliative care consultationCare consultationsHospital deathHospital outcomesICU admissionPalliative careIntensive care unit useRetrospective chart reviewSite of malignancyEmergency department visitsHospital outcome dataMultivariable logistic regressionLength of stayOncology admissionsChart reviewED visitsOncology inpatientsDepartment visitsMultivariable analysisICU levelMedical recordsPatient presentationRothman IndexHigher oddsPalliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019
Kodadek L, Moore M, Miller S, Schneider E, Ahuja V, Maerz L, Davis K. Palliative Care in a Pandemic: A Multicenter Cohort of Critically Ill Patients with Coronavirus Disease 2019. Surgical Infections 2023, 24: 190-198. PMID: 36757283, PMCID: PMC10081705, DOI: 10.1089/sur.2022.377.Peer-Reviewed Original ResearchConceptsIntensive care unitPalliative careIll patientsCoronavirus disease 2019Life careClinical characteristicsMechanical ventilationDisease 2019Acute respiratory syndrome coronavirus 2 infectionSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infectionSyndrome coronavirus 2 infectionCoronavirus 2 infectionPalliative care consultationPalliative care servicesCOVID-19Outcomes of interestHospital lengthAdult patientsComorbid diseasesDisease courseMulticenter cohortCare unitCare consultationsVaccination dataPatients
2021
Medical Outcomes of Oncology Inpatients With and Without Chaplain Spiritual Care Visit: The Yale New Haven Hospital Experience
Chow R, Tenenbaum L, Balboni TA, Prsic EH. Medical Outcomes of Oncology Inpatients With and Without Chaplain Spiritual Care Visit: The Yale New Haven Hospital Experience. JCO Oncology Practice 2021, 18: e334-e338. PMID: 34846912, DOI: 10.1200/op.21.00600.Peer-Reviewed Original ResearchConceptsMedical oncology patientsHealth care utilizationCare utilizationSpiritual careCare visitsOncology patientsIntensive care unit admissionYale-New Haven HospitalHospital health outcomesSpiritual care assessmentCare unit admissionDays of dischargeRetrospective chart reviewEmergency department visitsLength of stayNew Haven HospitalQuality of lifeUnit admissionHospital deathHospital outcomesChart reviewOncology inpatientsReadmission ratesDepartment visitsCare consultationsNeuromonitoring detects brain injury in patients receiving extracorporeal membrane oxygenation support
Ong CS, Etchill E, Dong J, Shou BL, Shelley L, Giuliano K, Al-Kawaz M, Ritzl EK, Geocadin RG, Kim BS, Bush EL, Choi CW, Whitman GJR, Cho SM. Neuromonitoring detects brain injury in patients receiving extracorporeal membrane oxygenation support. Journal Of Thoracic And Cardiovascular Surgery 2021, 165: 2104-2110.e1. PMID: 34865837, DOI: 10.1016/j.jtcvs.2021.09.063.Peer-Reviewed Original ResearchConceptsAcute brain injuryExtracorporeal membrane oxygenationMultivariable logistic regressionEra 2Neurological outcomeECMO patientsBrain injuryEra 1Pre-ECMO cardiac arrestUnderwent extracorporeal membrane oxygenationExtracorporeal membrane oxygenation supportLogistic regressionImproved neurological outcomeSerial neurological examinationsGood neurological outcomeMembrane oxygenation supportProportion of patientsTranscranial Doppler ultrasoundOxygenation supportMembrane oxygenationNeurological examinationCare consultationsCardiac arrestMultimodal neuromonitoringPatient outcomesRefining Patient-Centered Measures of End-of-Life Care Quality for Children With Cancer
Ananth P, Mun S, Reffat N, Kang SJ, Pitafi S, Ma X, Gross CP, Wolfe J. Refining Patient-Centered Measures of End-of-Life Care Quality for Children With Cancer. JCO Oncology Practice 2021, 18: e372-e382. PMID: 34613797, PMCID: PMC8932486, DOI: 10.1200/op.21.00447.Peer-Reviewed Original ResearchConceptsMedian importance scoresPalliative care consultationHealth care usePatient-reported outcomesCross-sectional electronic surveyLife care qualityPatient-centered measuresHealth care teamHealth care professionalsHealth care resourcesCandidate quality measuresCancer stakeholdersSymptom screeningCare consultationsCare useCare teamLife careCare professionalsPatient needsCare resourcesFamily stakeholdersCare qualityMedian scoreQuality measuresElectronic surveyAn observational case series of targeted virtual geriatric medicine and palliative care consults for hospitalized older adults with COVID-19
Ouellet JA, Prsic EH, Spear RA, Blatt L, Kukulka S, Cronin-Ozyck R, Kapo JM, Lai JM. An observational case series of targeted virtual geriatric medicine and palliative care consults for hospitalized older adults with COVID-19. Annals Of Palliative Medicine 2021, 0: 0-0. PMID: 34154358, DOI: 10.21037/apm-21-117.Peer-Reviewed Original ResearchConceptsPalliative care cliniciansPalliative care consultationCare cliniciansGeriatric medicineCare consultationsOlder adultsCode statusCOVID-19Virtual consultationsIntensive care unit levelLarge tertiary academic hospitalObservational case series studyDNR/DNIPalliative care consultCare unit levelHospitalized older adultsMedical record reviewCase series studyGoals of careObservational case seriesTime of consultationTertiary academic hospitalPersonal protective equipmentCare consultChart abstractionPalliative Care for Patients on Extracorporeal Membrane Oxygenation for COVID-19 Infection
Rao A, Zaaqoq AM, Kang IG, Vaughan EM, Flores J, Avila-Quintero VJ, Alnababteh MH, Kelemen AM, Groninger H. Palliative Care for Patients on Extracorporeal Membrane Oxygenation for COVID-19 Infection. American Journal Of Hospice And Palliative Medicine® 2021, 38: 854-860. PMID: 33685240, PMCID: PMC7944020, DOI: 10.1177/10499091211001009.Peer-Reviewed Original ResearchConceptsExtracorporeal membrane oxygenationPalliative care consultationCOVID-19 infectionPalliative care teamYears of ageCare consultationsPalliative careMembrane oxygenationIll patientsHigh morbidityCare teamNon-pain symptom managementOdds of deathPatients/familiesRates of anxietyAcademic medical centerSurrogate decision makersSymptom controlPatient characteristicsPain managementCase seriesClinical outcomesSymptom managementMedical complexityMedical Center
2020
End-of-Life Care for Persons Under Guardianship
Moye J, Stolzmann K, Auguste EJ, Cohen AB, Catlin CC, Sager ZS, Weiskittle RE, Woolverton CB, Connors HL, Sullivan JL. End-of-Life Care for Persons Under Guardianship. Journal Of Pain And Symptom Management 2020, 62: 81-90.e2. PMID: 33212143, PMCID: PMC8124075, DOI: 10.1016/j.jpainsymman.2020.11.008.Peer-Reviewed Original ResearchConceptsPalliative care consultationVeterans Health AdministrationLife careCare consultationsHealth AdministrationIntensive care unit careIntensive care unitTransitions of careVeterans Healthcare AdministrationQuality of endHealth care challengesSurrogate decision makersSample of personsICU admissionUnit careCare unitAdverse outcomesPalliative careExtended lengthQuality endCareComparison groupHealth carePatient narrativesAdministrationThe Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure
Feder SL, Tate J, Ersek M, Krishnan S, Chaudhry SI, Bastian LA, Rolnick J, Kutney-Lee A, Akgün KM. The Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure. Journal Of Pain And Symptom Management 2020, 61: 713-722.e1. PMID: 32931904, PMCID: PMC7952458, DOI: 10.1016/j.jpainsymman.2020.09.006.Peer-Reviewed Original ResearchConceptsHeart failure patientsPalliative care consultationVeterans Health AdministrationLife care qualityFailure patientsHeart failureCare consultationsHighest quintileVA hospitalsIntensive care unit deathCare qualityIntensive care unitHealth care systemCare unitInpatient hospiceMean ageLowest quintileHospital endRetrospective analysisHOSPITAL scorePatientsHealth AdministrationCare processesHospitalLogistic regressionNational trends in palliative care use among older adults with cardiopulmonary and malignant conditions
Feder SL, Jean RA, Bastian L, Akgün KM. National trends in palliative care use among older adults with cardiopulmonary and malignant conditions. Heart & Lung 2020, 49: 370-376. PMID: 32115242, PMCID: PMC7305962, DOI: 10.1016/j.hrtlng.2020.02.004.Peer-Reviewed Original Research
2018
Palliative care in decompensated cirrhosis: A review
Langberg KM, Kapo JM, Taddei TH. Palliative care in decompensated cirrhosis: A review. Liver International 2018, 38: 768-775. PMID: 29112338, DOI: 10.1111/liv.13620.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPalliative carePatient populationProspective randomized control trialIncidence of cirrhosisPalliative care consultationAdvanced care planningPatient-reported outcomesSmall observational studiesPotential treatment optionCost of careRandomized control trialQuality of lifeLiver transplantSymptom controlICU utilizationLiver diseaseCare consultationsTreatment optionsPatient satisfactionHospital costsObservational studyCirrhosisCare planningControl trialOnly cure
2017
Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration
Feder SL, Redeker NS, Jeon S, Schulman-Green D, Womack JA, Tate JP, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Akgün KM. Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration. American Journal Of Hospice And Palliative Medicine® 2017, 35: 959-965. PMID: 29254358, PMCID: PMC7491538, DOI: 10.1177/1049909117747519.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationSpecialist palliative carePalliative care consultationHeart failurePalliative careCare consultationsHealth AdministrationElectronic health record reviewICD-9 diagnostic codesIntensive care unit admissionSpecialist palliative care consultationUnmet palliative care needsVeterans Aging Cohort StudyCare unit admissionHealth record reviewPalliative care needsPalliative care servicesAging Cohort StudyGoals of careNinth Revision codesICD-9 codesYear of hospitalizationSite of careNegative predictive valueUnit admissionStandardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use
Adelson K, Paris J, Horton JR, Hernandez-Tellez L, Ricks D, Morrison RS, Smith CB. Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use. JCO Oncology Practice 2017, 13: jop.2016.016808. PMID: 28306372, DOI: 10.1200/jop.2016.016808.Peer-Reviewed Original ResearchConceptsHealth care usePC consultationPalliative careHospice referralReadmission ratesAdvanced cancerCancer careOncology servicesCare useStandardized criteriaInpatient oncology serviceReceipt of chemotherapyAdvanced solid tumorsHigh symptom burdenPalliative care consultationProspective cohort studyLength of staySymptom controlCohort studySymptom burdenPrior hospitalizationOncologic careCare consultationsControl subjectsIntervention group
2016
An electronic intervention to improve structured cancer stage data capture.
Adelson K, Framski K, Lazette P, Vega T, Lilenbaum R. An electronic intervention to improve structured cancer stage data capture. Journal Of Clinical Oncology 2016, 34: 151-151. DOI: 10.1200/jco.2016.34.7_suppl.151.Peer-Reviewed Original ResearchTumor RegistryCancer stagingOutcome analysisClinical trial eligibility determinationDisease-free intervalPalliative care consultationClinical trial eligibilityNumber of patientsElectronic decision supportEligible patientsTrial eligibilityAdvanced diseaseOverall survivalCare consultationsCancer CommitteeFree intervalCancer stageClinical trialsLung measuresClinical notesPatientsRegistry reportingStagingCancerElectronic intervention
2015
Critical Care at the End of Life
Akgün KM, Kapo JM, Siegel MD. Critical Care at the End of Life. Seminars In Respiratory And Critical Care Medicine 2015, 36: 921-933. PMID: 26600274, DOI: 10.1055/s-0035-1565254.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPalliative care skillsPalliative care modelCare modelCare skillsBasic palliative care skillsComplex palliative care needsIntensive care unit admissionCare unit admissionPalliative care consultationPalliative care needsPalliative care domainsChronic life-limiting conditionsFamily-centered endLife-limiting conditionsPeer support groupsUnit admissionEnd of lifeICU patientsSymptom managementCare consultationsICU providersCritical careIndividual ICUsICUCare needs
2014
Characterization of aggressive interventions within 30 days of death in lung cancer patients at Smilow Cancer Hospital (SCH).
Zhang B, Adelson K, Velji S, Rimar J, Longley P, Keane B, Chiang A, Lilenbaum R. Characterization of aggressive interventions within 30 days of death in lung cancer patients at Smilow Cancer Hospital (SCH). Journal Of Clinical Oncology 2014, 32: 20-20. DOI: 10.1200/jco.2014.32.30_suppl.20.Peer-Reviewed Original ResearchSmilow Cancer HospitalLung cancer patientsAggressive interventionRothman IndexDay of deathCancer patientsAdvanced cancerClinical conditionsAdvanced lung cancer patientsAdvanced lung cancerPalliative care consultationRetrospective chart reviewPatient's clinical conditionICU stayIOM guidelinesAggressive careChart reviewCancer HospitalCare consultationsCancer populationLung cancerFiscal year 2012Study populationEMR toolStage IIIEmergency department (ED) utilization and hospital admission rates among oncology patients at a large academic center and the need for improved urgent care access.
Adelson K, Dest V, Velji S, Lisitano R, Lilenbaum R. Emergency department (ED) utilization and hospital admission rates among oncology patients at a large academic center and the need for improved urgent care access. Journal Of Clinical Oncology 2014, 32: 19-19. DOI: 10.1200/jco.2014.32.30_suppl.19.Peer-Reviewed Original ResearchOncology patientsHospital admissionSmilow Cancer HospitalYale-New HavenPalliative care consultationHospital admission ratesEmergency department utilizationLarge academic centerEpic electronic medical recordAmbulatory oncology practicesElectronic medical recordsAverage daily costEducation of physiciansCancer expendituresMean hospitalizationAbdominal painED referralsAdvanced cancerCancer HospitalHospital EDUrgent presentationCare consultationsMost hospitalizationsDisease groupAdmission ratesStandardized Criteria for Integrated Palliative Care Consultation on the Solid Tumor Oncology Service (S752)
Paris J, Smith C, Horton J, Adelson K, Morrison R. Standardized Criteria for Integrated Palliative Care Consultation on the Solid Tumor Oncology Service (S752). Journal Of Pain And Symptom Management 2014, 47: 497-498. DOI: 10.1016/j.jpainsymman.2013.12.170.Peer-Reviewed Original Research
2013
Standardized criteria for required palliative care consultation on the solid tumor oncology service.
Adelson K, Paris J, Smith C, Horton J, Morrison R. Standardized criteria for required palliative care consultation on the solid tumor oncology service. Journal Of Clinical Oncology 2013, 31: 37-37. DOI: 10.1200/jco.2013.31.31_suppl.37.Peer-Reviewed Original ResearchPalliative care consultationPalliative careReadmission ratesHospice utilizationASCO guidelinesPC consultationCare consultationsMortality indexStandardized criteriaComparing group 1Improved symptom controlPalliative care consultStage IV diseaseHigh symptom burdenHealth care resourcesCare consultUncontrolled symptomsHospital deathST patientsSymptom controlSymptom burdenDays hospitalizationPrimary outcomeAdvanced cancerStay index
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