Evaluation of automated specialty palliative care in the intensive care unit: A retrospective cohort study.

ABSTRACT:

Introduction

Automated specialty palliative care consultation (SPC) has been proposed as an intervention to improve patient-centered care in the intensive care unit (ICU). Existing automated SPC trigger criteria are designed to identify patients at highest risk of in-hospital death. We sought to evaluate common mortality-based SPC triggers and determine whether these triggers reflect actual use of SPC consultation. We additionally aimed to characterize the population of patients who receive SPC without meeting mortality-based triggers.

Methods

We conducted a retrospective cohort study of all adult ICU admissions from 2012-2017 at an academic medical center with five subspecialty ICUs to determine the sensitivity and specificity of the five most common SPC triggers for predic

SUBMITTER: Secunda KE 

PROVIDER: S-EPMC8357176 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature