Background: Interstitial lung diseases (ILDs) have a major impact on survival and quality of life but only a small percentage of patients are referred for palliative care (PC). Objective: To assess the impact of early PC referral on hospital admissions, emergency department visits, and place of death in the last year of life. Design: This is a single-center retrospective observational study. Setting/Subjects: Subjects were patients with ILDs who attended the respiratory department of Hospital Santa Creu i Sant Pau (Barcelona, Spain) between 2011 and 2019. Results: Of the 51 included patients, 45% received early PC referral. Logistic regression indicated that early PC referral was independently associated with a lower risk of hospital admissions in the last year of life (OR = 0.16; 95% CI 0.03-0.75; p = 0.02) and a lower risk of dying in hospital (OR = 0.11; 95% CI 0.02-0.5; p = 0.009). Conclusion: Early PC referral reduces the need for hospitalization and enables domiciliary death.
CITATION STYLE
Rodrigo-Troyano, A., Alonso, A., Barril, S., Fariñas, O., Güell, E., Pascual, A., & Castillo, D. (2022). Impact of Early Referral to Palliative Care in Patients with Interstitial Lung Disease. Journal of Palliative Medicine, 25(9), 1422–1425. https://doi.org/10.1089/jpm.2021.0458
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