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. 2014 Sep;31(6):641-4.
doi: 10.1177/1049909113502845. Epub 2013 Aug 28.

Factors associated with utilization of an inpatient palliative care consultation service in an urban public hospital

Pavan Bhatraju  1 , Allison S Friedenberg  2 , Amit Uppal  3 , Laura Evans  3
Affiliations

Factors associated with utilization of an inpatient palliative care consultation service in an urban public hospital

Pavan Bhatraju et al. Am J Hosp Palliat Care. 2014 Sep.

Abstract

Rationale: To evaluate factors associated with palliative care consultation (PCC) in an urban public hospital.

Methods: A retrospective chart review of patients who died on inpatient medical services.

Results: Patients with a PCC were more likely to have a "do not resuscitate" (DNR) order at the time of death (p<0.001) and had a decreased likelihood of death in the ICU (p<0.001). Factors associated with PCC in a multivariate analysis included: cancer diagnosis (p=0.01), at least a high school education (p=0.04), older age (p=.003), and birth outside the US (p=0.03).

Conclusion: The increased PCC utilization for immigrants is in contrast to previously reported literature. This increased use may be because access to services in a municipal hospital is not driven by demographic and socioeconomic factors.

Keywords: disparities; end of life; goals of care; inpatient; palliative; urban; utilization.

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