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Palliative care needs in medical intensive care: improved identification—retrospective cohort study
  1. Olivia Rossnan1,
  2. Abby Hanson1,
  3. Aaron Spaulding2,
  4. Parthkumar Satashia1,
  5. Shivang Bhakta1,
  6. Maisha Robinson3,
  7. Scott A Helgeson4,
  8. Pablo Moreno-Franco1 and
  9. Devang Sanghavi1
  1. 1Department of Critical Care Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA
  2. 2Department of Health Sciences Research, Mayo Clinic Florida, Jacksonville, Florida, USA
  3. 3Department of Palliative Care, Mayo Clinic Florida, Jacksonville, Florida, USA
  4. 4Department of Internal Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA
  1. Correspondence to Dr Devang Sanghavi, Critical Care Medicine, Mayo Clinic in Florida, Jacksonville, Florida, USA; sanghavi.devang{at}mayo.edu

https://doi.org/10.1136/spcare-2022-004128

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    Although the number of hospitals with palliative care programmes has increased greatly in recent years, Roger et al report that 48% of referrals for these patients came from hospitalists and only 13% came from critical care physicians—a figure far less than would be expected.1 Such a gap in palliative care referrals in the intensive care unit (ICU) can be attributed to several factors, including the shortage of palliative care providers, the unrealistic expectation of the physicians for patient prognosis and the timing of the referrals. These factors contribute to excess hospital mortality, inadequate pain management, frequent hospital readmission and extended length of stay in the ICU.2 3 Therefore, a better method for identifying patients needing palliative care should be incorporated into care delivery.

    To identify the method of palliative care screening that was more effective in our local ICU, we screened and studied the first 50 patients admitted to this medical facility …

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    Footnotes

    • Contributors OR—conceptualisation, methodology, writing (original draft), data curation and visualisation. AH—writing (original draft), data curation and visualisation. AS—methodology, formal analysis and writing (original draft). PS—writing (original draft) and data curation. SB—writing (original draft) and data curation. MR—writing (review and editing). SAH—writing (review and editing). PM-F—supervision, project administration, resources and writing (review and editing). DS—supervision, project administration, resources, conceptualisation and writing (review and editing).

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.