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Factors Influencing Discharges to Hospice for Patients With Late-Stage Huntington's Disease.
Ogilvie, Amy C; Carnahan, Ryan M; Mendizabal, Adys; Gilbertson-White, Stephanie; Seaman, Aaron; Chrischilles, Elizabeth; Schultz, Jordan L.
Afiliación
  • Ogilvie AC; Division of General Internal Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
  • Carnahan RM; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
  • Mendizabal A; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
  • Gilbertson-White S; Department of Neurology, David Geffen School of Medicine, University of California Los Angeles (UCLA), Los Angeles, CA, USA.
  • Seaman A; College of Nursing, University of Iowa, Iowa City, IA, USA.
  • Chrischilles E; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
  • Schultz JL; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Am J Hosp Palliat Care ; : 10499091241274725, 2024 Aug 21.
Article en En | MEDLINE | ID: mdl-39167632
ABSTRACT

Background:

Hospice services for patients with Huntington's disease (HD) are likely beneficial in relieving significant burdens and minimizing costly hospitalizations at the end of life, though there has been little study or clinical guidance on hospice enrollment for patients with HD.

Objectives:

The primary objective of this study was to identify clinical, sociodemographic, and system-level factors associated with discharges to hospice compared to other dispositions for hospitalized patients with late-stage HD.

Methods:

These analyses used data from the Nationwide Inpatient Sample between the years 2007 and 2011. Weighted logistic regression with a forward selection approach was performed to identify factors associated with discharge to hospice compared to discharge to home, facility, other locations, and death in hospital.

Results:

These analyses included 6544 hospitalizations of patients with late-stage HD. There was a significant increasing trend in discharges to hospice over the study period (P < 0.001). After adjustment, multiple clinical, sociodemographic, and system-level variables were identified as being associated with discharges to hospice. Patients with aspiration pneumonia and non-aspiration pneumonias had lower odds of being discharged to hospice compared to dying in the hospital. When comparing to discharges to facilities and home, weight loss and palliative care consultation were associated with greater odds of discharge to hospice.

Conclusions:

Our findings serve as a foundation for future studies on these factors, and thus help clinician decision-making on when to start advance care planning or end-of-life care for patients with HD. These results also support studies developing hospice referral criteria specific to patients with HD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Hosp Palliat Care Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Hosp Palliat Care Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos