Variability in Palliative Care Use after Intracerebral Hemorrhage at US Hospitals: A Multilevel Analysis.

ABSTRACT:

Background

Palliative care (PC) is an essential component of comprehensive care of patients with intracerebral hemorrhage (ICH). In the present study, we sought to characterize the variability of PC use after ICH among US hospitals.

Methods

ICH admissions from hospitals with at least 12 annual ICH cases were identified in the Nationwide Inpatient Sample between 2008 and 2011. We used multilevel logistic regression modeling to estimate between-hospital variance in PC use. We calculated the intraclass correlation coefficient (ICC), proportional variance change, and median OR after accounting for individual-level and hospital-level covariates.

Results

Among 26,791 ICH admissions, 12.5% received PC (95% CI 11.5-13.5). Among the 629 included hospitals, the median rate of P

SUBMITTER: Faigle R 

PROVIDER: S-EPMC6698400 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature