Rates, patterns, and predictors of specialty palliative care consultation among patients with acute-on-chronic liver failure.

ABSTRACT:

Background & aims

There is growing acceptance that principles of palliative care should be integrated into the management of serious illnesses affecting the liver, such as acute-on-chronic liver failure (ACLF). However, rates, patterns, and predictors of specialty palliative care consultation among patients with ACLF have not been well-described.

Methods

We performed a retrospective cohort study of patients hospitalized with ACLF between 1/1/2008 and 12/31/2018 using the VOCAL cohort. Patients were followed until 6/2021. We used mixed-effects regression analyses to identify significant patient and facility factors associated with palliative care consultation. We examined timing of consultation, the influence of ACLF characteristics, and facility-level variation on receipt of

SUBMITTER: Patel A 

PROVIDER: S-EPMC10808910 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature