Hospital-based acute care in the last 30 days of life among patients with chronic disease that received early, late or no specialist palliative care: a retrospective cohort study of eight chronic disease groups.

ABSTRACT:

Objective

For eight chronic diseases, evaluate the association of specialist palliative care (PC) exposure and timing with hospital-based acute care in the last 30 days of life.

Design

Retrospective cohort study using administrative data.

Setting

Alberta, Canada between 2007 and 2016.

Participants

47 169 adults deceased from: (1) cancer, (2) heart disease, (3) dementia, (4) stroke, (5) chronic lower respiratory disease (chronic obstructive pulmonary disease (COPD)), (6) liver disease, (7) neurodegenerative disease and (8) renovascular disease.

Main outcome measures

The proportion of decedents who experienced high hospital-based acute care in the last 30 days of life, indicated by ≥two emergency department (ED) visit, ≥two hospital admissions,≥14 days of

SUBMITTER: Earp M 

PROVIDER: S-EPMC7993357 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature