American Journal of Hospice & Palliative Medicine最新文献

Erratum. 勘误。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2018-04-12 DOI: 10.1177/1049909118769509

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CORRIGENDUM to Courvoisier's Law (updated to Cheyne-Stokes Breathing). Courvoisier's Law（更新为 Cheyne-Stokes 呼吸法）的正文。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2020-05-28 DOI: 10.1177/1049909120931994

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Using the LACE Score as a Predictor of Clinical Outcomes in Patients Referred for Inpatient Palliative Care Consultation: A Single-Center Experience. 将 LACE 评分作为转诊住院患者姑息关怀咨询临床结果的预测指标：单中心经验。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2018-07-31 DOI: 10.1177/1049909118793177

David Dadiomov, Patricia Keefer, Michael A Smith

{"title":"Using the LACE Score as a Predictor of Clinical Outcomes in Patients Referred for Inpatient Palliative Care Consultation: A Single-Center Experience.","authors":"David Dadiomov, Patricia Keefer, Michael A Smith","doi":"10.1177/1049909118793177","DOIUrl":"10.1177/1049909118793177","url":null,"abstract":"Background: Readmissions and death for palliative care patients are common and costly outcomes for hospitals, patients, and/or caregivers. Predicting which patients are likely to be readmitted or die within 30 days would help allocate resources and aid in patient disposition planning. Few factors have been strongly correlated with predicting which patients will be readmitted or die within 30 days of hospital discharge. The LACE (Length of Stay, Acuity of admission, Charlson comorbidity index, Emergency department use) score has been validated in medical/surgical patients; however, it has not been evaluated in the palliative care population.Objective: To evaluate the LACE score in palliative care population.Design: This study was a single-center retrospective cohort design.Setting/patients: Patients were identified based on their consultation to an inpatient palliative care service.Measurements: Thirty-day readmissions, 30-day mortality, length of stay, acuity of admission, Charlson comorbidity index, emergency department utilization, and demographic information.Results: The LACE score was not an accurate predictor of clinical outcomes in the palliative care population. Patients who were readmitted or died within 30 days tended to be younger. Patients who were readmitted within 30 days tended to have increased emergency department use in the previous 6 months.Conclusions: Our study demonstrates the LACE score may not be a sensitive predictor of clinical outcomes in our institution's palliative care patients. This may be due to the complexity of the required care in this population; thus, other factors should be investigated to determine accurate predictors of patient outcomes to better allocate resources.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"305-309"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36358995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Corrigendum to Outcomes of Airway Stents in the Palliative Care of Patients With Cancer. 癌症患者姑息治疗中气道支架的效果》更正。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2020-06-24 DOI: 10.1177/1049909120936412

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Corrrigendum to Palliative Sedation Therapy Practice Comparison - A Survey of Pediatric Palliative Care and Pain Management Specialists. 姑息镇静疗法实践比较--儿科姑息治疗和疼痛管理专家调查》附录。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2023-01-02 DOI: 10.1177/10499091221148623

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Corrigendum to the Role of Religiosity in Symptom Expression of Advanced Cancer Patients. 宗教信仰在晚期癌症患者症状表现中的作用》更正。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2021-09-26 DOI: 10.1177/10499091211050135

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Corrigendum to Quality of Communication Questionnaire for Patients Hospitalized in Intensive and Palliative Care Unit: Validity Evidence for Use in Brazil. 重症监护室和姑息治疗病房住院病人沟通质量问卷》更正：在巴西使用的有效性证据。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2021-09-14 DOI: 10.1177/10499091211047647

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Corrigendum to Challenges of dental hygienists in a multidisciplinary team approach during palliative care for patients with advanced cancer: a nationwide study. 晚期癌症患者姑息治疗期间多学科团队方法中牙科保健师面临的挑战：一项全国性研究》的更正。

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2026-03-01 Epub Date: 2021-12-26 DOI: 10.1177/10499091211070932

引用次数: 0

Pain Outcomes Among Medical Centers With High vs Low Specialist Palliative Care Reach Among People With Heart Failure. 心力衰竭患者专科姑息治疗覆盖率高与低的医疗中心的疼痛结局

IF 1.4 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2025-12-01 Epub Date: 2024-12-04 DOI: 10.1177/10499091241304695

Shelli L Feder, L Han, Yan Zhan, Erica A Abel, Kathleen M Akgün

{"title":"Pain Outcomes Among Medical Centers With High vs Low Specialist Palliative Care Reach Among People With Heart Failure.","authors":"Shelli L Feder, L Han, Yan Zhan, Erica A Abel, Kathleen M Akgün","doi":"10.1177/10499091241304695","DOIUrl":"10.1177/10499091241304695","url":null,"abstract":"Background: Pain affects more than 60% of people with heart failure (HF), with increasing frequency and severity towards the end of life (EOL). We examined if family-rated pain near EOL was associated with rates of specialist palliative care (SPC) among patients with HF. Methods: We conducted a retrospective cohort study among 1095 decedents with advanced HF (aHF = ≥2 hospitalizations) from 83 Veterans Affairs Medical Centers (VAMCs) between 2018-2020. We used multilevel logistic regression to derive facility rates of predicted SPC for each VAMC adjusting for demographic and clinical characteristics. We examined associations between VAMCs in the top 20% (vs bottom 80%) of SPC rates and family-reported pain at the EOL from the Bereaved Family Survey and the interaction between receiving SPC and VAMC-level SPC rates on study outcomes. Analyses were conducted using generalized linear models, adjusting for demographic, clinical, and facility covariates. Results: The sample was 98% male, 73% White, and 20% Black, with a mean age of 79.7+/-10.3 years. Over 77% of the sample had uncontrolled pain at the EOL. In adjusted models, there was no association between family-reported pain and VAMC rates of SPC (Odds Ratio = 1.082, 95% Confidence Interval = 0.706-1.659). Receipt of SPC did not change this relationship (p-interaction = .405). Conclusion: Families of people with aHF cared for in VAMCs with high rates of SPC were as likely to report uncontrolled pain relative to people cared for in VAMCs with lower SPC rates. Research is needed to identify delivery and organizational features associated with improved pain control at the EOL among this symptomatic population.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":" ","pages":"1298-1303"},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Differences in Timely Goals of Care Discussions in Nursing Homes Among Black Residents 养老院中黑人住院者及时讨论护理目标的差异

IF 1.9 4区医学

American Journal of Hospice & Palliative Medicine Pub Date : 2024-09-17 DOI: 10.1177/10499091241284073

Jung A. Kang, Andrew W. Dick, Laurent G. Glance, Lara Dhingra, Patricia W. Stone

{"title":"Differences in Timely Goals of Care Discussions in Nursing Homes Among Black Residents","authors":"Jung A. Kang, Andrew W. Dick, Laurent G. Glance, Lara Dhingra, Patricia W. Stone","doi":"10.1177/10499091241284073","DOIUrl":"https://doi.org/10.1177/10499091241284073","url":null,"abstract":"BackgroundIn the United States, disparities persist in end-of-life care outcomes between Black and White nursing home (NH) residents, particularly concerning infection-related management. Timely goals of care (TGOC) discussions are crucial for improving end-of-life outcomes but exhibit racial variations within NHs that are not well understood.ObjectivesExamine the association between the proportion of Black residents within NHs and TGOC discussion related to infection management.DesignA national analysis of palliative care survey data from NHs with the Minimum Dataset 3.0 and administrative data.Setting/Subjects892 NHs representing a weighted sample of 14,981 facilities.MeasurmentsTGOC discussions related to infection management were quantified using an index score from the palliative care survey (range: 0-18). Multivariable analyses assessed the association between the proportion of Black residents (≤2%, 2.1%–15%, >15%) and TGOC index scores.ResultsThe majority of NHs were for-profit, chain-affiliated, urban facilities with fewer than 100 beds, serving both Medicare and Medicaid beneficiaries. In stratified analyses, NHs with 2.1%–15% (−0.97 score; 95%CI -1.86, −0.07; P < .05) and 15% or more Black residents (−3.86 score; 95%CI -6.62, −1.10; P < .01) showed lower TGOC index scores compared to NHs with 2% or fewer Black residents in the West. NHs with 2.1%–15% Black residents had 1.29 lower TGOC index scores compared to NHs with 2% or fewer Black residents (95%CI -2.51, −0.07; P < .05) in the Northeast.ConclusionsTGOC discussions in US NHs are influenced by the proportion of Black residents, highlighting the need for targeted interventions to address regional disparities and improve end-of-life care equity.","PeriodicalId":50810,"journal":{"name":"American Journal of Hospice & Palliative Medicine","volume":"38 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142256073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0