Department of Emergency & Hospital Medicine, Lehigh Valley Hospital-Cedar Crest, Allentown, PA 18103, USA.
Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.
Future Cardiol. 2022 Sep;18(10):809-816. doi: 10.2217/fca-2022-0041. Epub 2022 Sep 2.
To determine the association between inpatient palliative care encounter (PCE) and 30-day rehospitalization. The Nationwide Readmission Database was used in a cross-sectional design study. Comorbidities and a palliative care encounter (PCE; V66.7) were defined using ICD9 codes. Overall, 21.28% of 3,534,480 index hospitalizations were readmitted. PCE occurred in 1.66% of index hospitalizations and was associated with a lower odds of 30-day rehospitalization (adjusted odds ratio, 0.38; 95% CI: 0.35-0.40). This association remained significant when assessed by discharge destination. PCE was associated with a lower relative odds of 30-day rehospitalization. A 73% decrease in the relative odds of 30-day rehospitalization among discharges to a facility, 64% for home with home health, and 22% for discharges to home.
为了确定住院姑息治疗（PCE）的发生与 30 天再入院之间的关联。采用回顾性队列研究设计，利用全国再入院数据库。使用 ICD9 编码定义合并症和姑息治疗（V66.7）的发生。在 3534480 例索引住院中，有 21.28%的患者发生再入院。PCE 发生于 1.66%的索引住院患者中，与 30 天再入院的可能性较低相关（调整后的优势比，0.38；95%置信区间：0.35-0.40）。当按出院去向评估时，该关联仍然显著。PCE 与 30 天再入院的相对可能性较低相关。机构出院的相对再入院可能性降低了 73%，家庭健康状况出院的相对再入院可能性降低了 64%，家庭出院的相对再入院可能性降低了 22%。
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