Community-based palliative care – care delivered at home, not the hospital – was associated with a 50 percent reduction in emergency department visits for patients in their last year of life. The results of an Australian study were published online February 3rd in Annals of Emergency Medicine (“The Association of Community-Based Palliative Care with Reduced Emergency Department Visits in the Last Year of Life Varies by Patient Factors”).
Researchers studied nearly 12,000 records for patients who died of cancer, heart failure, kidney failure, chronic obstructive pulmonary disease and/or liver failures in Western Australia from 2009 to 2010. Dying patients visited the emergency department on average twice a year during their last year of life. The average number of emergency department visits was reduced when patients received palliative care.
“It is encouraging that palliative care was associated with reduced emergency department visits for five different diseases, so isn’t limited to just cancer or heart failure, for example,” said study lead Lorna Rosenwax, PhD. of Curtin University in Perth, Australia. “Most patients who were in their last year of life visited the emergency department at least once, with one person visiting 74 times in the space of a year. Only about one-third (32 percent) of the patients we studied received community-based palliative care but they were much less likely to require emergency medical treatment as a result.” [Read more…]