Limits...
From hospice to hospital: short-term follow-up study of hospice patient outcomes in a US acute care hospital surveillance system.

Pathak EB, Wieten S, Djulbegovic B - BMJ Open (2014)

Bottom Line: In an adjusted survival model, discharge to a healthcare facility resulted in a 74% longer hospital stay compared with discharge to hospice (event time ratio (ETR)=1.74, 95% CI 1.54 to 1.97 p<0.0001), with 61% longer hospital stays among patients discharged home (ETR=1.61, 95% CI 1.39 to 1.86 p<0.0001).Total financial charges for all patients exceeded $25 million; 10% of patients who appeared to exit hospice incurred 32% of the charges.Future studies should incorporate prospective linkage of subjective patient-centred data and objective healthcare encounter data.

View Article: PubMed Central - PubMed

Affiliation: Division of Evidence-Based Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.

No MeSH data available.


Related in: MedlinePlus

Discharge outcomes for patients admitted to a hospital from hospice, Florida 2010–2012 (n=2674).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4120426&req=5

BMJOPEN2014005196F1: Discharge outcomes for patients admitted to a hospital from hospice, Florida 2010–2012 (n=2674).

Mentions: There were a total of 2764 patients whose source of admission was reported as ‘hospice’ during the period 1 January 2010 to 30 June 2012 at acute-care general hospitals in Florida. The discharge status of these patients is shown in figure 1. Almost half of these patients died prior to discharge (46%), while the majority of survivors were discharged back into a hospice programme (80% of survivors, 44% of total). Patients discharged home (5.2%) included those who were scheduled to receive home healthcare.


From hospice to hospital: short-term follow-up study of hospice patient outcomes in a US acute care hospital surveillance system.

Pathak EB, Wieten S, Djulbegovic B - BMJ Open (2014)

Discharge outcomes for patients admitted to a hospital from hospice, Florida 2010–2012 (n=2674).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4120426&req=5

BMJOPEN2014005196F1: Discharge outcomes for patients admitted to a hospital from hospice, Florida 2010–2012 (n=2674).
Mentions: There were a total of 2764 patients whose source of admission was reported as ‘hospice’ during the period 1 January 2010 to 30 June 2012 at acute-care general hospitals in Florida. The discharge status of these patients is shown in figure 1. Almost half of these patients died prior to discharge (46%), while the majority of survivors were discharged back into a hospice programme (80% of survivors, 44% of total). Patients discharged home (5.2%) included those who were scheduled to receive home healthcare.

Bottom Line: In an adjusted survival model, discharge to a healthcare facility resulted in a 74% longer hospital stay compared with discharge to hospice (event time ratio (ETR)=1.74, 95% CI 1.54 to 1.97 p<0.0001), with 61% longer hospital stays among patients discharged home (ETR=1.61, 95% CI 1.39 to 1.86 p<0.0001).Total financial charges for all patients exceeded $25 million; 10% of patients who appeared to exit hospice incurred 32% of the charges.Future studies should incorporate prospective linkage of subjective patient-centred data and objective healthcare encounter data.

View Article: PubMed Central - PubMed

Affiliation: Division of Evidence-Based Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.

No MeSH data available.


Related in: MedlinePlus