Palliative care consultation in patients with Staphylococcus aureus bacteremia

Palliative care consultation in patients with Staphylococcus aureus bacteremia PALLIATIVE MEDICINE Kobayashi, T., Salinas, J. L., Ten Eyck, P., Chen, B., Ando, T., Inagaki, K., Alsuhaibani, M., Auwaerter, P. G., Molano, I., Diekema, D. J. 2021; 35 (4): 785-792

Abstract

Palliative care consultation has shown benefits across a wide spectrum of diseases, but the utility in patients with Staphylococcus aureus bacteremia remains unclear despite its high mortality.To examine the frequency of palliative care consultation and factors associated with palliative care consult in Staphylococcus aureus bacteremia patients in the United States.A population-based retrospective analysis using the Nationwide Inpatient Sample database in 2014, compiled by the Healthcare Costs and Utilization Project of the Agency for Healthcare Research and Quality.All inpatients with a discharge diagnosis of Staphylococcus aureus bacteremia (ICD-9-CM codes; 038.11 and 038.12).Palliative care consultation was identified using ICD-9-CM code V66.7. Patients' baseline characteristics and outcomes were compared between those with and without palliative care consult.A total of 111,320 Staphylococcus aureus bacteremia admissions were identified in 2014. Palliative care consult was observed in 8140 admissions (7.3%). Palliative care consultation was associated with advanced age, white race, comorbidities, higher income, teaching/urban hospitals, Midwest region, Methicillin-resistant Staphylococcus aureus bacteremia and the lack of echocardiogram. Palliative care consult was also associated with shorter but more expensive hospitalizations. Crude mortality was 53% (4314/8140) among admissions with palliative care consult and 8% (8357/10,3180) among those without palliative care consult (p?

View details for DOI 10.1177/0269216321999574

View details for Web of Science ID 000634468700001

View details for PubMedID 33757367