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40
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1017/s1478951511000423" target="_blank" rel="noreferrer">http://doi.org/10.1017/s1478951511000423</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Palliative medicine consultation impacts DNR designation and length of stay for terminal medical MICU patients.
Publisher
An entity responsible for making the resource available
Palliative & Supportive Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
Subject
The topic of the resource
Female; Humans; Male; Medical Futility; Aged; referral and consultation; Costs and Cost Analysis; retrospective studies; DNAR; Resuscitation Orders; Palliative Care; DNAR Outcomes; APACHE; Hospital Mortality/td [Trends]; Intensive Care Units/statistics & numerical data; Length of Stay/sn [Statistics & Numerical Data]; Acute physiology and chronic health evaluation; Do not resuscitate; Length of Stay/td [Trends]; Medical intensive care; Palliative medicine consultation
Creator
An entity primarily responsible for making the resource
Lustbader DR; Pekmezaris R; Frankenthaler M; Walia R; Smith F; Hussain E; Napolitano B; Lesser M
Description
An account of the resource
OBJECTIVE: The purpose of this study was to assess the impact of a palliative medicine consultation on medical intensive care unit (MICU) and hospital length of stay, Do Not Resuscitate (DNR) designation, and location of death for MICU patients who died during hospitalization., METHOD: A comparison of two retrospective cohorts in a 17-bed MICU in a tertiary care university-affiliated hospital was conducted. Patients admitted to the MICU between January 1, 2003 and June 30, 2004 (N = 515) were compared to MICU patients who had had a palliative medicine consultation between January 1, 2005 and June 1, 2009 (N = 693). To control for disease severity, only patients in both cohorts who died during their hospitalization were considered for this study., RESULTS: Palliative medicine consultation reduced time until death during the entire hospitalization (log-rank test, p < 0.01). Time from MICU admission until death was also reduced (log-rank test, p < 0.01), further demonstrating the impact of the palliative care consultation on the duration of dying for hospitalized patients. The intervention group contained a significantly higher percentage of patients with a DNR designation at death than did the control group (86% vs. 68%, chi2 test, p < 0.0001)., SIGNIFICANCE OF RESULTS: Palliative medicine consultation is associated with an increased rate of DNR designation and reduced time until death. Patients in the intervention group were also more likely to die outside the MICU as compared to controls in the usual care group.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1017/s1478951511000423" target="_blank" rel="noreferrer">10.1017/s1478951511000423</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2011
Acute physiology and chronic health evaluation
Aged
APACHE
Backlog
Costs And Cost Analysis
DNAR
DNAR Outcomes
Do Not Resuscitate
Female
Frankenthaler M
Hospital Mortality/td [Trends]
Humans
Hussain E
Intensive Care Units/statistics & numerical data
Journal Article
Length of Stay/sn [Statistics & Numerical Data]
Length of Stay/td [Trends]
Lesser M
Lustbader DR
Male
Medical Futility
Medical intensive care
Napolitano B
Palliative & Supportive Care
Palliative Care
Palliative medicine consultation
Pekmezaris R
Referral And Consultation
Resuscitation Orders
Retrospective Studies
Smith F
Walia R
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1017/s1478951512000417" target="_blank" rel="noreferrer">http://doi.org/10.1017/s1478951512000417</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Ethnicity, race, and advance directives in an inpatient palliative care consultation service.
Publisher
An entity responsible for making the resource available
Palliative & Supportive Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
Subject
The topic of the resource
Female; Humans; Male; Adult; Aged; Middle Aged; Cross-Cultural Comparison; Program Evaluation; Spirituality; 80 and over; decision making; DNAR; Resuscitation Orders; Advance Directives/eh [Ethnology]; Attitude to Death/eh [Ethnology]; Palliative Care/og [Organization & Administration]; Referral and Consultation/og [Organization & Administration]; Terminal Care/og [Organization & Administration]; African Americans/statistics & numerical data; Asian Continental Ancestry Group/sn [Statistics & Numerical Data]; European Continental Ancestry Group/sn [Statistics & Numerical Data]; Hispanic Americans/sn [Statistics & Numerical Data]; New York/ep [Epidemiology]
Creator
An entity primarily responsible for making the resource
Zaide GB; Pekmezaris R; Nouryan CN; Mir Tanveer P; Sison CP; Liberman T; Lesser ML; Cooper LB; Wolf-Klein GP
Description
An account of the resource
OBJECTIVE: Although race and ethnic background are known to be important factors in the completion of advance directives, there is a dearth of literature specifically investigating the effect of race and ethnicity on advance directive completion rate after palliative care consultation (PCC)., METHOD: A chart review of all patients seen by the PCC service in an academic hospital over a 9-month period was performed. Data were compiled using gender, race, ethnicity, religion, and primary diagnosis. For this study, advance directives were defined as: "Do Not Resuscitate" (DNR) and/or "Do Not Intubate" (DNI)., RESULTS: Of the 400 medical records reviewed, 57% of patients were female and 71.3% documented their religion as Christian. The most common documented diagnosis was cancer (39.5%). Forty-seven percent reported their race as white. White patients completed more advance directives than did nonwhite patients both before (25.67% vs. 12.68%) and after (59.36% vs. 40.84%) PCC. There was a significantly higher proportion of whites who signed an advance directive after a PCC than of nonwhites (p = 0.021); of the 139 whites who did not have an advance directive at admission, 63 signed an advance directive after a PCC compared with 186/60 nonwhites (45% vs. 32%, respectively, p = 0.021). Further analysis revealed that African Americans differed from whites in the likelihood of advance directive execution rates pre-PCC, but not post-PCC., SIGNIFICANCE OF RESULTS: This study demonstrates the impact of a PCC on the completion of advance directives, on both whites and nonwhites. The PCC Intervention significantly reduced differences between whites and African Americans in completing advance directives, which have been consistently documented in the end-of-life literature.
2013
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1017/s1478951512000417" target="_blank" rel="noreferrer">10.1017/s1478951512000417</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2013
80 And Over
Adult
Advance Directives/eh [Ethnology]
African Americans/statistics & numerical data
Aged
Asian Continental Ancestry Group/sn [Statistics & Numerical Data]
Attitude to Death/eh [Ethnology]
Backlog
Cooper LB
Cross-cultural Comparison
Decision Making
DNAR
European Continental Ancestry Group/sn [Statistics & Numerical Data]
Female
Hispanic Americans/sn [Statistics & Numerical Data]
Humans
Journal Article
Lesser ML
Liberman T
Male
Middle Aged
Mir Tanveer P
New York/ep [Epidemiology]
Nouryan CN
Palliative & Supportive Care
Palliative Care/og [Organization & Administration]
Pekmezaris R
Program Evaluation
Referral and Consultation/og [Organization & Administration]
Resuscitation Orders
Sison CP
Spirituality
Terminal Care/og [organization & Administration]
Wolf-Klein GP
Zaide GB