Outcomes of the Acute Palliative Care Unit in an Academic Medical Center

Serife Eti, Sean O'Mahony, Marlene McHugh, Rose Guilbe, Arthur Blank, Peter A. Selwyn

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: The acute palliative care units (APCU) where the palliative medicine specialists are primarily in charge with medical management are being established in few academic medical centers. The purpose of this study is to review the demographics and outcomes of the APCU admissions and the economical implications to the Montefiore Medical Center, Bronx, New York.Methods:We retrospectively examined the demographics, diagnosis related groups (DRGs), length of hospital stay (LOS), discharge status and hospital charge data using data from intcernal cost accounting databases for consecutive admissions to the palliative care unit between February 2007and February 2010.Results:A total of 1837 patients were admitted. Six hundred eighty patients transferred from other medical-surgical units. Twenty two percent of the patients were admitted under other specialties but co-managed with the palliative medicine specialists. The top three DRGs were sepsis without or with mechanical ventilation and heart failure with major co-morbidities. The average length of stay was comparable to other medical surgical units. Seventy-two percent of the patients were discharged alive, 27% died in the hospital. The median charges were lower in the palliative care unit than in medical-surgical units (p<.0001). These benefits were more likely to occur if patients were managed directly by the specialists. Conclusion: Our data suggests that the APCU may provide cost effective, acute care for the patients with advanced chronic illness as well as the imminently dying in need of intensive symptom management.

Original languageEnglish (US)
Pages (from-to)380-384
Number of pages5
JournalAmerican Journal of Hospice and Palliative Medicine
Volume31
Issue number4
DOIs
StatePublished - 2014

Fingerprint

Palliative Care
Length of Stay
Diagnosis-Related Groups
Demography
Hospital Charges
Costs and Cost Analysis
Artificial Respiration
Sepsis
Patient Care
Chronic Disease
Heart Failure
Databases
Morbidity
Palliative Medicine

Keywords

  • acute palliative care unit
  • DRGs(diagnosis-related groups)
  • economical implications
  • length of stay
  • outcome evaluation
  • palliative care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Outcomes of the Acute Palliative Care Unit in an Academic Medical Center. / Eti, Serife; O'Mahony, Sean; McHugh, Marlene; Guilbe, Rose; Blank, Arthur; Selwyn, Peter A.

In: American Journal of Hospice and Palliative Medicine, Vol. 31, No. 4, 2014, p. 380-384.

Research output: Contribution to journalArticle

Eti, Serife ; O'Mahony, Sean ; McHugh, Marlene ; Guilbe, Rose ; Blank, Arthur ; Selwyn, Peter A. / Outcomes of the Acute Palliative Care Unit in an Academic Medical Center. In: American Journal of Hospice and Palliative Medicine. 2014 ; Vol. 31, No. 4. pp. 380-384.
@article{29b214c0a058414da411adb30a8c4340,
title = "Outcomes of the Acute Palliative Care Unit in an Academic Medical Center",
abstract = "Background: The acute palliative care units (APCU) where the palliative medicine specialists are primarily in charge with medical management are being established in few academic medical centers. The purpose of this study is to review the demographics and outcomes of the APCU admissions and the economical implications to the Montefiore Medical Center, Bronx, New York.Methods:We retrospectively examined the demographics, diagnosis related groups (DRGs), length of hospital stay (LOS), discharge status and hospital charge data using data from intcernal cost accounting databases for consecutive admissions to the palliative care unit between February 2007and February 2010.Results:A total of 1837 patients were admitted. Six hundred eighty patients transferred from other medical-surgical units. Twenty two percent of the patients were admitted under other specialties but co-managed with the palliative medicine specialists. The top three DRGs were sepsis without or with mechanical ventilation and heart failure with major co-morbidities. The average length of stay was comparable to other medical surgical units. Seventy-two percent of the patients were discharged alive, 27{\%} died in the hospital. The median charges were lower in the palliative care unit than in medical-surgical units (p<.0001). These benefits were more likely to occur if patients were managed directly by the specialists. Conclusion: Our data suggests that the APCU may provide cost effective, acute care for the patients with advanced chronic illness as well as the imminently dying in need of intensive symptom management.",
keywords = "acute palliative care unit, DRGs(diagnosis-related groups), economical implications, length of stay, outcome evaluation, palliative care",
author = "Serife Eti and Sean O'Mahony and Marlene McHugh and Rose Guilbe and Arthur Blank and Selwyn, {Peter A.}",
year = "2014",
doi = "10.1177/1049909113489164",
language = "English (US)",
volume = "31",
pages = "380--384",
journal = "American Journal of Hospice and Palliative Medicine",
issn = "1049-9091",
publisher = "SAGE Publications Inc.",
number = "4",

}

TY - JOUR

T1 - Outcomes of the Acute Palliative Care Unit in an Academic Medical Center

AU - Eti, Serife

AU - O'Mahony, Sean

AU - McHugh, Marlene

AU - Guilbe, Rose

AU - Blank, Arthur

AU - Selwyn, Peter A.

PY - 2014

Y1 - 2014

N2 - Background: The acute palliative care units (APCU) where the palliative medicine specialists are primarily in charge with medical management are being established in few academic medical centers. The purpose of this study is to review the demographics and outcomes of the APCU admissions and the economical implications to the Montefiore Medical Center, Bronx, New York.Methods:We retrospectively examined the demographics, diagnosis related groups (DRGs), length of hospital stay (LOS), discharge status and hospital charge data using data from intcernal cost accounting databases for consecutive admissions to the palliative care unit between February 2007and February 2010.Results:A total of 1837 patients were admitted. Six hundred eighty patients transferred from other medical-surgical units. Twenty two percent of the patients were admitted under other specialties but co-managed with the palliative medicine specialists. The top three DRGs were sepsis without or with mechanical ventilation and heart failure with major co-morbidities. The average length of stay was comparable to other medical surgical units. Seventy-two percent of the patients were discharged alive, 27% died in the hospital. The median charges were lower in the palliative care unit than in medical-surgical units (p<.0001). These benefits were more likely to occur if patients were managed directly by the specialists. Conclusion: Our data suggests that the APCU may provide cost effective, acute care for the patients with advanced chronic illness as well as the imminently dying in need of intensive symptom management.

AB - Background: The acute palliative care units (APCU) where the palliative medicine specialists are primarily in charge with medical management are being established in few academic medical centers. The purpose of this study is to review the demographics and outcomes of the APCU admissions and the economical implications to the Montefiore Medical Center, Bronx, New York.Methods:We retrospectively examined the demographics, diagnosis related groups (DRGs), length of hospital stay (LOS), discharge status and hospital charge data using data from intcernal cost accounting databases for consecutive admissions to the palliative care unit between February 2007and February 2010.Results:A total of 1837 patients were admitted. Six hundred eighty patients transferred from other medical-surgical units. Twenty two percent of the patients were admitted under other specialties but co-managed with the palliative medicine specialists. The top three DRGs were sepsis without or with mechanical ventilation and heart failure with major co-morbidities. The average length of stay was comparable to other medical surgical units. Seventy-two percent of the patients were discharged alive, 27% died in the hospital. The median charges were lower in the palliative care unit than in medical-surgical units (p<.0001). These benefits were more likely to occur if patients were managed directly by the specialists. Conclusion: Our data suggests that the APCU may provide cost effective, acute care for the patients with advanced chronic illness as well as the imminently dying in need of intensive symptom management.

KW - acute palliative care unit

KW - DRGs(diagnosis-related groups)

KW - economical implications

KW - length of stay

KW - outcome evaluation

KW - palliative care

UR - http://www.scopus.com/inward/record.url?scp=84899951114&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84899951114&partnerID=8YFLogxK

U2 - 10.1177/1049909113489164

DO - 10.1177/1049909113489164

M3 - Article

VL - 31

SP - 380

EP - 384

JO - American Journal of Hospice and Palliative Medicine

JF - American Journal of Hospice and Palliative Medicine

SN - 1049-9091

IS - 4

ER -