Derivation of data-driven triggers for palliative care consultation in critically ill patients.

ABSTRACT:

Purpose

To examine the ability of existing triggers for intensive care unit (ICU) palliative care consultation to predict 6-month mortality, and derive new triggers for consultation based on risk factors for 6-month mortality.

Materials and methods

Retrospective cohort study of NY state residents who received intensive care, 2008-2013. We examined sensitivity and specificity of existing triggers for predicting 6-month mortality and used logistic regression to generate patient subgroups at high-risk for 6-month mortality as potential novel triggers for ICU palliative care consultation.

Results

Of 1,019,849 patients, 195,847 (19.2%) died within 6 months of admission. Existing triggers were specific but not sensitive for predicting 6-month mortality, (sensitivity 0.3%-11

SUBMITTER: Hua MS 

PROVIDER: S-EPMC6014916 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature