Impact of Home-Based Pediatric Palliative Care on Hospital and Emergency Department Utilization at a Single Institution

Impact of Home-Based Pediatric Palliative Care on Hospital and Emergency Department Utilization at a Single Institution

Bower KA; Lau M; Short R; Lawrence S; Beauchamp-Walters J; Marc-Aurele K

Journal of Palliative Medicine

2022

ED utilization; Emergency department; Home-based care; Hospital; Hospital utilization; Pediatric palliative care

Background: There is limited data on home-based pediatric palliative care (PPC) demographics and utilization outcomes. Objective(s): Describe who receives home-based PPC and compare emergency department visits, hospital admissions, and hospital days admitted in the one year before and after initiation of home-based PPC. Design(s): Exploratory retrospective medical chart review. Settings/Subjects: Patients, from birth to their 21st birthday, who received home-based PPC during January 1, 2015 to July 31, 2016 at a single site. Measurements: Demographics and hospital utilization were extracted from the medical chart. Result(s): N = 154. Comparing one year before and after initiation of home-based PPC, the median number of hospitalizations decreased from 2 to 1 (p < 0.001), and the median total number of hospital days admitted decreased from 16 to 4 days (p < 0.001). Conclusion(s): Children enrolled in a home-based PPC program experienced a significant decrease in the number of hospital admissions and hospital days admitted. © Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.

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