Factors influencing palliative care referral for hospitalised patients with heart failure: an exploratory, randomised, multi-institutional survey of hospitalists and cardiologists.

ABSTRACT:

Objective

To identify factors influencing cardiologists' and hospitalists' decisions regarding palliative care referral among hospitalised patients with advanced heart failure.

Design

An exploratory, randomised vignette-based survey.

Setting

Cardiology and hospitalist divisions at three Michigan State institutions and the Society of Hospital Medicine's Michigan Chapter.

Participants

145 hospitalists and 64 cardiologists.

Outcome measures

Primary outcomes included participants' reports of their likelihood of referring a standardised patient with an acute heart failure exacerbation with multiple prior hospital admissions and acute renal failure to palliative care (scale of 0%-100%) after the initial stem and after being cued with three randomised vignette

SUBMITTER: Abedini NC 

PROVIDER: S-EPMC7745336 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature