Abstract Details

Title Racial Differences In Palliative Care Utilization And Impact On Inpatient Mortality Length Stay And Costs Among Patients With Intracerebral Hemorrhage

Topic Pain

Presentation(s) P1 - Poster Session 1 (8:00 AM-9:00 AM)

Poster/Presentation
Number 12-004

Objective Palliative is increasingly used in critically ill patients which has lead to shorter length of stays, higher inpatient mortality and lower utilization of aggressive treatment. We performed analysis to evaluate trends in utilization of palliative care among patients with subarachnoid hemorrhage and its effect on in-hospital outcomes over a 10-year period

Background NA

Design/Methods We obtained data for patients admitted to hospitals in the United States from 2009 to 2018 with a primary diagnosis of intracerebral hemorrhage (ICH) using a large national database. We determined the overall and among different races, rate of utilization of palliative care in patients with ICH and associated in-hospital outcomes consisting of mean hospital charges, mean length of stay and in-hospital mortality

Results Out of 711787 patients admitted with primary diagnosis of ICH, palliative care was used in 105354 (14.8%). There was a 2.5-fold increase in utilization of PC (8.9% in 2009 vs 22.9% in 2018; p<0.001). Similarly, there were 2.4, 2.6, 3.7 and 2.4-folds increase in utilization of PC among different races: whites, blacks, hispanics and others respectively, p<0.001. Overall rates of PC utilization among different races: whites, blacks, hispanics and others were: 17.4%, 9.8%, 10.1% and 12.2%, p<0.001 respectively. The length of hospitalization remained significantly lower (4.8±7.8 versus 7.7±10.8, p<0.001) in patients undergoing PC compared with those who did not. The cost of hospitalization remained significantly lower ($54736 ± 94502 versus $ 79426 ± 124617, p<0.001) in patients undergoing PC compared with those who did not. Patients with PC utilization had significantly higher (64.9% versus 13.7%, p<0.001) in-hospital mortality compared ones with out.

Conclusions Between 2009 and 2018, there has been a significant increase in utilization of PC among patients with ICH along with shorter length of stay and lower hospital charges. ICH patients with PC had significantly higher in-hospital mortality

Authors/Disclosures
PRESENTER	No disclosure on file
Mohammad Rauf A. Chaudhry, MD	Dr. Chaudhry has nothing to disclose.
	No disclosure on file
Danish Kherani, MD	Dr. Kherani has nothing to disclose.
Mohammad Ghatali, MD (Texas Tech Health Science Center)	Dr. Ghatali has nothing to disclose.
Saqib A. Chaudhry, MD	Dr. Chaudhry has nothing to disclose.
Anantha Vellipuram, MD (Piedmont)	Dr. Vellipuram has nothing to disclose.
Paisith Piriyawat, MD (Texas Tech University)	Dr. Piriyawat has nothing to disclose.
Alberto Maud, MD (Paul L. Foster School of Medicine Texas Tech UHSC El Paso, Texas)	Dr. Maud has nothing to disclose.
Gustavo J. Rodriguez, MD (Gustavo J. Rodriguez)	Dr. Rodriguez has nothing to disclose.
Isabel Victoria Narvaez- Correa, MD	Dr. Narvaez- Correa has nothing to disclose.

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