TY - JOUR
T1 - Access to Palliative Care Consultation for Hospitalized Adults with COVID-19 in an Urban Health System
T2 - Were There Disparities at the Peak of the Pandemic?
AU - Frydman, Julia L.
AU - Aldridge, Melissa
AU - Moreno, Jaison
AU - Singer, Joshua
AU - Zeng, Li
AU - Chai, Emily
AU - Morrison, R. Sean
AU - Gelfman, Laura P.
N1 - Publisher Copyright:
© Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Background: Palliative care (PC) services expanded rapidly to meet the needs of coronavirus disease 2019 (COVID-19) patients, yet little is known about which patients were referred for PC consultation during the pandemic. Objective: Examine factors predictive of PC consultation for COVID-19 patients. Design: Retrospective cohort study of COVID-19 patients discharged from four hospitals (March 1-June 30, 2020). Exposures: Patient demographic, socioeconomic, and clinical factors and hospital-level characteristics. Outcome Measurement: Inpatient PC consultation. Results: Of 4319 hospitalized COVID-19 patients, 581 (14%) received PC consultation. Increasing age, serious illness (cancer, chronic obstructive pulmonary disease, and dementia), greater illness severity, and admission to the quaternary hospital were associated with receipt of PC consultation. There was no association between PC consultation and race/ethnicity, household crowding, insurance status, or hospital-factors, including inpatient, emergency department, and intensive care unit census. Conclusions: Although site variation existed, the highest acuity patients were most likely to receive PC consultation without racial/ethnic or socioeconomic disparities.
AB - Background: Palliative care (PC) services expanded rapidly to meet the needs of coronavirus disease 2019 (COVID-19) patients, yet little is known about which patients were referred for PC consultation during the pandemic. Objective: Examine factors predictive of PC consultation for COVID-19 patients. Design: Retrospective cohort study of COVID-19 patients discharged from four hospitals (March 1-June 30, 2020). Exposures: Patient demographic, socioeconomic, and clinical factors and hospital-level characteristics. Outcome Measurement: Inpatient PC consultation. Results: Of 4319 hospitalized COVID-19 patients, 581 (14%) received PC consultation. Increasing age, serious illness (cancer, chronic obstructive pulmonary disease, and dementia), greater illness severity, and admission to the quaternary hospital were associated with receipt of PC consultation. There was no association between PC consultation and race/ethnicity, household crowding, insurance status, or hospital-factors, including inpatient, emergency department, and intensive care unit census. Conclusions: Although site variation existed, the highest acuity patients were most likely to receive PC consultation without racial/ethnic or socioeconomic disparities.
KW - disparities in palliative care
KW - hospitalized patients with COVID-19
KW - inpatient palliative care consultation
KW - pandemic palliative care
UR - http://www.scopus.com/inward/record.url?scp=85122707614&partnerID=8YFLogxK
U2 - 10.1089/jpm.2021.0313
DO - 10.1089/jpm.2021.0313
M3 - Article
C2 - 34637349
AN - SCOPUS:85122707614
SN - 1096-6218
VL - 25
SP - 124
EP - 129
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
IS - 1
ER -