1. Impact of Early Referral to Palliative Care in Patients with Interstitial Lung Disease.
- Author
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Rodrigo-Troyano, Ana, Alonso, Ana, Barril, Silvia, Fariñas, Oscar, Güell, Ernest, Pascual, Antonio, and Castillo, Diego
- Subjects
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HOSPITAL emergency services , *SCIENTIFIC observation , *CONFIDENCE intervals , *PLACE of death , *INTERSTITIAL lung diseases , *PATIENTS , *RETROSPECTIVE studies , *HOSPITAL admission & discharge , *HOSPITAL mortality , *MEDICAL referrals , *LOGISTIC regression analysis , *ODDS ratio , *PALLIATIVE treatment - Abstract
Background: Interstitial lung diseases (ILDs) have a major impact on survival and quality of life but only a small percentage of patients are referred for palliative care (PC). Objective: To assess the impact of early PC referral on hospital admissions, emergency department visits, and place of death in the last year of life. Design: This is a single-center retrospective observational study. Setting/Subjects: Subjects were patients with ILDs who attended the respiratory department of Hospital Santa Creu i Sant Pau (Barcelona, Spain) between 2011 and 2019. Results: Of the 51 included patients, 45% received early PC referral. Logistic regression indicated that early PC referral was independently associated with a lower risk of hospital admissions in the last year of life (OR = 0.16; 95% CI 0.03–0.75; p = 0.02) and a lower risk of dying in hospital (OR = 0.11; 95% CI 0.02–0.5; p = 0.009). Conclusion: Early PC referral reduces the need for hospitalization and enables domiciliary death. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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