Reduction of healthcare costs by implementing palliative family conference with the decision to withdraw life-sustaining treatments

Publication date: Available online 13 March 2019Source: Journal of the Formosan Medical AssociationAuthor(s): Hou-Tai Chang, Jih-Shuin Jerng, Duan-Rung ChenBackgroundEvidence regarding the impact of early palliative family conferences (PFCs) and decision to withdraw life-sustaining treatment (DTW) on healthcare costs in an intensive care unit (ICU) setting is inconsistent.MethodsWe retrospectively analyzed patients who died in an ICU from 2013 to 2016. PFCs held within 7 days after ICU admission and DTWs were verified by reviewing medical records and claims data. Comparisons were first made between patients with and without DTWs, and secondly, between DTW patients with and without PFCs within 7 days. Propensity score matching methods were used to examine the difference in costs between patients with and without DTWs and PFCs within 7 days.ResultsOf the 579 patients included, those with DTWs (n = 73) had a longer ICU stay than those without (n = 506) (12.9 ± 7.1 vs. 8.4 ± 9.6 days, p 
Source: Journal of the Formosan Medical Association - Category: General Medicine Source Type: research

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Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
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Condition:   Advanced Disease Intervention:   Device: eIPOS Sponsors:   Ludwig-Maximilians - University of Munich;   CANKADO Not yet recruiting
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Source: Clinical Journal of Oncology Nursing - Category: Nursing Authors: Tags: Clin J Oncol Nurs Source Type: research
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Source: Cancer Causes and Control - Category: Cancer & Oncology Source Type: research
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Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: conference sinclair twitter Source Type: blogs
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