The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical Intensive Care Unit: An Instrumental Variable Analysis.

ABSTRACT: Rationale: Early identification of intensive care unit (ICU) patients likely to benefit from specialist palliative care could reduce the time such patients spend in the ICU receiving care inconsistent with their goals. Objectives: To evaluate the real-world effects of early screening for palliative care criteria in a medical ICU. Methods: We performed a retrospective cohort study in adults admitted to the ICU using a causal inference approach with instrumental variable analysis. The intervention consisted of screening ICU admissions for palliative care trigger conditions and, if present, offering specialist palliative care consultation, which could be accepted or declined by the ICU. We evaluated specialist palliative care use in pre and postimplementation cohorts from

SUBMITTER: Hochberg CH 

PROVIDER: S-EPMC11808553 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature