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- W2000131068 abstract "1.To learn a method for identifying palliative care (PC)-relevant cases among all adult hospitalizations using administrative/claims data.2.To understand how different the 10-11% of PC-relevant cases are from the vast majority of hospital admissions in terms of intensity and duration (and, in the US, costs).3.To understand the implications for identifying appropriate comparison (usual care) cases among all hospital admissions, when evaluating the impact of PC involvement. PC leaders and hospital administrators need to understand how PC cases fit into the context of all hospitalizations. To develop an internationally-applicable set of criteria to categorize PC-relevant cases as two subsets of all hospitalizations; and through this to understand the length of stay, intensity, and costs of PC-relevant hospitalizations and the extent to which PC programs touched those. Using claims/utilization data, disposition at discharge, and risk of mortality scores we divided adult hospitalizations at two US health systems (academic N = 27,360; community N = 43,908) and one UK academic hospital (N = 34,185) into three categories: died in hospital, survived with high risk of mortality, and all others. We also linked hospital utilization with PC encounter data. PC-relevant cases comprised 10-11% of all hospitalizations: 3% were deaths and 7-8% survived with high risk of mortality. In the US hospitals, this 10-11% of patients used 21%-26% of all bed days, 59%-64% of ICU days, and drove 21-32% of direct costs. In the UK hospital, this 10% of patients used 25% of all bed days and 45% of ICU days. Across all three hospitals the PC teams saw 4-5% of hospitalizations but this differed by subset: in the US academic hospital, the PC team saw 38% of those who died and 15% of the high-risk survivors; in the US community hospital, the PC team saw 24% of deaths and 27% of high-risk survivors; and in the UK hospital, the PC team saw 41% of those who died and 11% of the high-risk survivors. This analytic approach is useful for understanding the duration and intensity of PC-relevant hospitalizations." @default.
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- W2000131068 date "2013-02-01" @default.
- W2000131068 modified "2023-09-26" @default.
- W2000131068 title "Measuring the Intensity, Cost and Duration of Palliative Care-Relevant Cases Among all Hospitalizations in Three US and UK Hospitals (TH316-B)" @default.
- W2000131068 doi "https://doi.org/10.1016/j.jpainsymman.2012.10.049" @default.
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