Risky Behavior: Hospital Transfers Associated with Early Mortality and Rates of Goals of Care Discussions
General Material Designation
[Article]
First Statement of Responsibility
Brooten, Justin K.; Buckenheimer, Alyssa S.; Hallmark, Joy K.; Grey, Carl R.; Cline, David M.; Breznau, Candace J.; McQueen, Tyler S.; Harris, Zvi J.; Welsh, David; Williamson, Jeff D.; Gabbard, Jennifer L.
SUMMARY OR ABSTRACT
Text of Note
Introduction: Inter-hospital transfer (IHT) patients have higher in-hospital mortality, higher healthcare costs, and worse outcomes compared to non-transferred patients. Goals of care (GoC) discussions prior to transfer are necessary in patients at high risk for decline to ensure that the intended outcome of transfer is goal concordant. However, the frequency of these discussions is not well understood. This study was intended to assess the prevalence of GoC discussions in IHT patients with early mortality, defined as death within 72 hours of transfer, and prevalence of primary diagnoses associated with in-hospital mortality.
SET
Date of Publication
2020
Title
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume Number
21/4
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Brooten, Justin K.; Buckenheimer, Alyssa S.; Hallmark, Joy K.; Grey, Carl R.; Cline, David M.; Breznau, Candace J.; McQueen, Tyler S.; Harris, Zvi J.; Welsh, David; Williamson, Jeff D.; Gabbard, Jennifer L.