Austin Chen MD, MS , Ketki Sathe MBBS, MS , Yixuan C. Zhang BA , Lyndia C. Brumback PhD , Addy L. Elketami MS , Jamie T. Nomitch MD, MS , Timothy J. Shipe MDiv , Cynthia M. Thelen BA , Katherine G. Hicks MD , Ann L. Jennerich MD, MS
{"title":"利用“没有人会孤独死去”计划来支持濒死病人。","authors":"Austin Chen MD, MS , Ketki Sathe MBBS, MS , Yixuan C. Zhang BA , Lyndia C. Brumback PhD , Addy L. Elketami MS , Jamie T. Nomitch MD, MS , Timothy J. Shipe MDiv , Cynthia M. Thelen BA , Katherine G. Hicks MD , Ann L. Jennerich MD, MS","doi":"10.1016/j.jpainsymman.2025.07.013","DOIUrl":null,"url":null,"abstract":"<div><h3>Context</h3><div>The No One Dies Alone (NODA) program has utilized trained volunteers to provide support to dying patients for over 20 years.</div></div><div><h3>Objectives</h3><div>Evaluating program utilization at a large, urban medical center can provide insights to guide expansion and address unmet needs.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of hospitalized patients enrolled in the NODA program at Harborview Medical Center (HMC), a level I trauma center in Seattle, WA. The NODA program has been operating at HMC since 2012, and our cohort includes data through 2020. We extracted patient demographics, admission characteristics, and program utilization metrics from the electronic health record and used descriptive statistics to summarize the data from decedents.</div></div><div><h3>Results</h3><div>During the study period, 245 patients were referred to the NODA program, and data were available for 234 hospitalized patients. The average length of time spent in the program was four days (SD 6), with 37% of patients enrolled for only a single day. Most patients received a visit from NODA volunteers, although 22% had no volunteer visits. In cases where a volunteer did not visit, the most common reason was patient death prior to volunteer arrival (92%). Many patients had family visit during the hospitalization (56%).</div></div><div><h3>Conclusion</h3><div>The NODA program was utilized for patients with and without family support. Some patients were unable to benefit from the program due to timing of referral relative to death, highlighting the importance of early consultation to maximize program benefits.</div></div>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":"70 5","pages":"Pages e311-e317"},"PeriodicalIF":3.5000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Utilization of the No One Dies Alone Program to Support Dying Patients\",\"authors\":\"Austin Chen MD, MS , Ketki Sathe MBBS, MS , Yixuan C. Zhang BA , Lyndia C. Brumback PhD , Addy L. Elketami MS , Jamie T. Nomitch MD, MS , Timothy J. Shipe MDiv , Cynthia M. Thelen BA , Katherine G. Hicks MD , Ann L. Jennerich MD, MS\",\"doi\":\"10.1016/j.jpainsymman.2025.07.013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Context</h3><div>The No One Dies Alone (NODA) program has utilized trained volunteers to provide support to dying patients for over 20 years.</div></div><div><h3>Objectives</h3><div>Evaluating program utilization at a large, urban medical center can provide insights to guide expansion and address unmet needs.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of hospitalized patients enrolled in the NODA program at Harborview Medical Center (HMC), a level I trauma center in Seattle, WA. The NODA program has been operating at HMC since 2012, and our cohort includes data through 2020. We extracted patient demographics, admission characteristics, and program utilization metrics from the electronic health record and used descriptive statistics to summarize the data from decedents.</div></div><div><h3>Results</h3><div>During the study period, 245 patients were referred to the NODA program, and data were available for 234 hospitalized patients. The average length of time spent in the program was four days (SD 6), with 37% of patients enrolled for only a single day. Most patients received a visit from NODA volunteers, although 22% had no volunteer visits. In cases where a volunteer did not visit, the most common reason was patient death prior to volunteer arrival (92%). Many patients had family visit during the hospitalization (56%).</div></div><div><h3>Conclusion</h3><div>The NODA program was utilized for patients with and without family support. Some patients were unable to benefit from the program due to timing of referral relative to death, highlighting the importance of early consultation to maximize program benefits.</div></div>\",\"PeriodicalId\":16634,\"journal\":{\"name\":\"Journal of pain and symptom management\",\"volume\":\"70 5\",\"pages\":\"Pages e311-e317\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pain and symptom management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0885392425007183\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pain and symptom management","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0885392425007183","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Utilization of the No One Dies Alone Program to Support Dying Patients
Context
The No One Dies Alone (NODA) program has utilized trained volunteers to provide support to dying patients for over 20 years.
Objectives
Evaluating program utilization at a large, urban medical center can provide insights to guide expansion and address unmet needs.
Methods
We conducted a retrospective cohort study of hospitalized patients enrolled in the NODA program at Harborview Medical Center (HMC), a level I trauma center in Seattle, WA. The NODA program has been operating at HMC since 2012, and our cohort includes data through 2020. We extracted patient demographics, admission characteristics, and program utilization metrics from the electronic health record and used descriptive statistics to summarize the data from decedents.
Results
During the study period, 245 patients were referred to the NODA program, and data were available for 234 hospitalized patients. The average length of time spent in the program was four days (SD 6), with 37% of patients enrolled for only a single day. Most patients received a visit from NODA volunteers, although 22% had no volunteer visits. In cases where a volunteer did not visit, the most common reason was patient death prior to volunteer arrival (92%). Many patients had family visit during the hospitalization (56%).
Conclusion
The NODA program was utilized for patients with and without family support. Some patients were unable to benefit from the program due to timing of referral relative to death, highlighting the importance of early consultation to maximize program benefits.
期刊介绍:
The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.