{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:50:18Z","timestamp":1793055018566,"version":"4.5.0"},"reference-count":58,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["jacepopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACEP Open"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.acepjo.2025.100165","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T19:52:55Z","timestamp":1748548375000},"page":"100165","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Benefits of Emergency Department-Initiated Goals of Care Conversations and Palliative Care Consultations Among Older Adults with Chronic or Serious Life-Limiting Illnesses"],"prefix":"10.1016","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-1424","authenticated-orcid":false,"given":"Jennifer","family":"Johnson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timmy","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Mandile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"McCann-Pineo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Landon","family":"Witz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Payal","family":"Sud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1090","key":"10.1016\/j.acepjo.2025.100165_bib1","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1136\/postgradmedj-2015-133368","article-title":"Communication in palliative care: talking about the end of life, before the end of life","volume":"92","author":"Brighton","year":"2016","journal-title":"Postgrad Med J"},{"issue":"26","key":"10.1016\/j.acepjo.2025.100165_bib2","doi-asserted-by":"crossref","first-page":"2549","DOI":"10.1056\/NEJMra1411746","article-title":"Comfort care for patients dying in the hospital","volume":"373","author":"Blinderman","year":"2015","journal-title":"N Engl J Med"},{"issue":"14","key":"10.1016\/j.acepjo.2025.100165_bib3","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1001\/jama.300.14.1665","article-title":"Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment","volume":"300","author":"Wright","year":"2008","journal-title":"JAMA"},{"issue":"29","key":"10.1016\/j.acepjo.2025.100165_bib4","doi-asserted-by":"crossref","first-page":"4457","DOI":"10.1200\/JCO.2009.26.3863","article-title":"Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers\u2019 mental health","volume":"28","author":"Wright","year":"2010","journal-title":"J Clin Oncol"},{"issue":"35","key":"10.1016\/j.acepjo.2025.100165_bib5","doi-asserted-by":"crossref","first-page":"4387","DOI":"10.1200\/JCO.2012.43.6055","article-title":"Associations between end-of-life discussion characteristics and care received near death: a prospective cohort study","volume":"30","author":"Mack","year":"2012","journal-title":"J Clin Oncol"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100165_bib6","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.annemergmed.2019.01.003","article-title":"Goals-of-care conversations for older adults with serious illness in the emergency department: challenges and opportunities","volume":"74","author":"Ouchi","year":"2019","journal-title":"Ann Emerg Med"},{"issue":"23","key":"10.1016\/j.acepjo.2025.100165_bib7","doi-asserted-by":"crossref","first-page":"3007","DOI":"10.1001\/jama.286.23.3007","article-title":"The inner life of physicians and care of the seriously ill","volume":"286","author":"Meier","year":"2001","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib8","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1002\/cncr.24761","article-title":"Physician factors associated with discussions about end-of-life care","volume":"116","author":"Keating","year":"2010","journal-title":"Cancer"},{"issue":"5","key":"10.1016\/j.acepjo.2025.100165_bib9","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1097\/TA.0000000000002000","article-title":"The impact of inpatient palliative care on end-of-life care among older trauma patients who die after hospital discharge","volume":"85","author":"Lilley","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100165_bib10","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1017\/cem.2018.371","article-title":"Perceived barriers and facilitators to goals of care discussions in the emergency department: a descriptive analysis of the views of emergency medicine physicians and residents","volume":"21","author":"Argintaru","year":"2019","journal-title":"CJEM"},{"issue":"S1","key":"10.1016\/j.acepjo.2025.100165_bib11","doi-asserted-by":"crossref","first-page":"S61","DOI":"10.1111\/j.1532-5415.2000.tb03143.x","article-title":"Family satisfaction with end-of-life care in seriously ill hospitalized adults","volume":"48","author":"Baker","year":"2000","journal-title":"J Am Geriatr Soc"},{"issue":"21","key":"10.1016\/j.acepjo.2025.100165_bib12","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1001\/jama.279.21.1709","article-title":"Relationship between cancer patients\u2019 predictions of prognosis and their treatment preferences","volume":"279","author":"Weeks","year":"1998","journal-title":"JAMA"},{"issue":"11","key":"10.1016\/j.acepjo.2025.100165_bib13","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.1002\/cncr.23476","article-title":"Peace, equanimity, and acceptance in the cancer experience (PEACE): validation of a scale to assess acceptance and struggle with terminal illness","volume":"112","author":"Mack","year":"2008","journal-title":"Cancer"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib14","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1002\/msj.20272","article-title":"Palliative care: a primer","volume":"78","author":"Litrivis","year":"2011","journal-title":"Mt Sinai J Med"},{"issue":"5","key":"10.1016\/j.acepjo.2025.100165_bib15","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1007\/s00134-010-1800-1","article-title":"Death in emergency departments: a multicenter cross-sectional survey with analysis of withholding and withdrawing life support","volume":"36","author":"Le Conte","year":"2010","journal-title":"Intensive Care Med"},{"issue":"8","key":"10.1016\/j.acepjo.2025.100165_bib16","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.mayocp.2013.05.020","article-title":"Top 10 things palliative care clinicians wished everyone knew about palliative care","volume":"88","author":"Strand","year":"2013","journal-title":"Mayo Clin Proc"},{"issue":"7","key":"10.1016\/j.acepjo.2025.100165_bib17","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1200\/JCO.2009.25.4672","article-title":"End-of-life discussions, goal attainment, and distress at the end of life: predictors and outcomes of receipt of care consistent with preferences","volume":"28","author":"Mack","year":"2010","journal-title":"J Clin Oncol"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib18","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1017\/S1478951511000435","article-title":"Posttraumatic stress disorder at the end of life: extant research and proposed psychosocial treatment approach","volume":"9","author":"Feldman","year":"2011","journal-title":"Palliat Support Care"},{"issue":"3","key":"10.1016\/j.acepjo.2025.100165_bib19","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.jpainsymman.2009.07.011","article-title":"Families\u2019 perceptions of veterans\u2019 distress due to post-traumatic stress disorder-related symptoms at the end of life","volume":"39","author":"Alici","year":"2010","journal-title":"J Pain Symptom Manage"},{"issue":"3","key":"10.1016\/j.acepjo.2025.100165_bib20","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1046\/j.1532-5415.2002.50116.x","article-title":"Medical care inconsistent with patients\u2019 treatment goals: association with 1-year Medicare resource use and survival","volume":"50","author":"Teno","year":"2002","journal-title":"J Am Geriatr Soc"},{"issue":"2-3","key":"10.1016\/j.acepjo.2025.100165_bib21","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1080\/15524256.2017.1346543","article-title":"Stepwise psychosocial palliative care: a new approach to the treatment of posttraumatic stress disorder at the end of life","volume":"13","author":"Feldman","year":"2017","journal-title":"J Soc Work End Life Palliat Care"},{"key":"10.1016\/j.acepjo.2025.100165_bib22","first-page":"1","article-title":"Hospice and palliative care clinicians\u2019 perceptions of posttraumatic stress disorder at end-of-life in military veterans","volume":"2021","author":"Kaiser","year":"2021","journal-title":"Prog Palliat Care"},{"issue":"3","key":"10.1016\/j.acepjo.2025.100165_bib23","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1177\/10499091221116098","article-title":"Lived experience: a case-based review of trauma-informed hospice and palliative care at a Veterans Affairs Medical Center","volume":"40","author":"Meyerson","year":"2023","journal-title":"Am J Hosp Palliat Care"},{"key":"10.1016\/j.acepjo.2025.100165_bib24","unstructured":"Goodman DC, Fisher ES, Chang CH, et al. Lebanon (NH): The Dartmouth Institute for Health Policy and Clinical Practice; 2010 Nov 16. The Dartmouth Atlas of Health Care. Quality of End-of-Life Cancer Care for Medicare Beneficiaries: Regional and Hospital-Specific Analyses."},{"issue":"12","key":"10.1016\/j.acepjo.2025.100165_bib25","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1111\/acem.13083","article-title":"Shared decision making to support the provision of palliative and end-of-life care in the emergency department: a consensus statement and research agenda","volume":"23","author":"George","year":"2016","journal-title":"Acad Emerg Med"},{"issue":"S1","key":"10.1016\/j.acepjo.2025.100165_bib26","doi-asserted-by":"crossref","first-page":"S101","DOI":"10.1111\/j.1532-5415.2000.tb03119.x","article-title":"The last six months of life for patients with congestive heart failure","volume":"48","author":"Levenson","year":"2000","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100165_bib27","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1191\/0269216305pm1056oa","article-title":"The healthcare needs of chronic obstructive pulmonary disease patients in the last year of life","volume":"19","author":"Elkington","year":"2005","journal-title":"Palliat Med"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100165_bib28","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1377\/hlthaff.2011.0922","article-title":"Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there","volume":"31","author":"Smith","year":"2012","journal-title":"Health Aff (Millwood)"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib29","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1200\/JCO.2014.57.3568","article-title":"Emergency department attendance by patients with cancer in their last month of life: a systematic review and meta-analysis","volume":"33","author":"Henson","year":"2015","journal-title":"J Clin Oncol"},{"issue":"3","key":"10.1016\/j.acepjo.2025.100165_bib30","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/emp2.12021","article-title":"Advance directives in the emergency department","volume":"1","author":"Baker","year":"2020","journal-title":"J Am Coll Emerg Physicians Open"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100165_bib31","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1089\/jpm.2014.0368","article-title":"Advance directives for older adults in the emergency department: a systematic review","volume":"18","author":"Oulton","year":"2015","journal-title":"J Palliat Med"},{"issue":"9","key":"10.1016\/j.acepjo.2025.100165_bib32","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0257501","article-title":"Comparison of characteristics and management of emergency department presentations between patients with met and unmet palliative care needs","volume":"16","author":"Kirkland","year":"2021","journal-title":"PLoS One"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100165_bib33","article-title":"Developing a novel integrated geriatric palliative care consultation program for the emergency department","volume":"3","author":"Stoltenberg","year":"2022","journal-title":"J Am Coll Emerg Physicians Open"},{"issue":"7","key":"10.1016\/j.acepjo.2025.100165_bib35","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1089\/jpm.2020.0272","article-title":"Advance directives\/care planning: clear, simple, and wrong","volume":"23","author":"Sean Morrison","year":"2020","journal-title":"J Palliat Med"},{"key":"10.1016\/j.acepjo.2025.100165_bib36","series-title":"Opinion: We can\u2019t become Numb after 1 million COVID deaths","author":"Lopez","year":"2022"},{"key":"10.1016\/j.acepjo.2025.100165_bib37","doi-asserted-by":"crossref","first-page":"e183","DOI":"10.1097\/MJT.0000000000000674","article-title":"The family meeting as therapeutic intervention","volume":"25","author":"Carney","year":"2018","journal-title":"Am J Ther"},{"issue":"8","key":"10.1016\/j.acepjo.2025.100165_bib38","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1056\/NEJMoa1000678","article-title":"Early palliative care for patients with metastatic non-small-cell lung cancer","volume":"363","author":"Temel","year":"2010","journal-title":"N Engl J Med"},{"issue":"16","key":"10.1016\/j.acepjo.2025.100165_bib39","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1001\/archinte.168.16.1783","article-title":"Cost savings associated with US hospital palliative care consultation programs","volume":"168","author":"Morrison","year":"2008","journal-title":"Arch Intern Med"},{"issue":"1","key":"10.1016\/j.acepjo.2025.100165_bib40","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.jpainsymman.2016.08.003","article-title":"Impact of palliative care screening and consultation in the ICU: a multihospital quality improvement project","volume":"53","author":"Zalenski","year":"2017","journal-title":"J Pain Symptom Manage"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib41","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1089\/jpm.2020.0082","article-title":"Emergency department admission triggers for palliative consultation may decrease length of stay and costs","volume":"24","author":"Wang","year":"2021","journal-title":"J Palliat Med"},{"issue":"5","key":"10.1016\/j.acepjo.2025.100165_bib42","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1089\/jpm.2022.0245","article-title":"Emergency department embedded palliative care service creates value for health systems","volume":"26","author":"Wang","year":"2023","journal-title":"J Palliat Med"},{"issue":"1","key":"10.1016\/j.acepjo.2025.100165_bib44","doi-asserted-by":"crossref","first-page":"86","DOI":"10.7326\/M20-3486","article-title":"Evaluation of hospital performance using the excess days in acute care measure in the hospital readmissions reduction program","volume":"174","author":"Wadhera","year":"2021","journal-title":"Ann Intern Med"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100165_bib45","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.annemergmed.2008.07.016","article-title":"Emergency department admissions are more profitable than non-emergency department admissions","volume":"53","author":"Henneman","year":"2009","journal-title":"Ann Emerg Med"},{"key":"10.1016\/j.acepjo.2025.100165_bib46","first-page":"1","article-title":"Demystifying and communicating case-mix index. White paper","volume":"16","year":"2022","journal-title":"CDI Strategies"},{"key":"10.1016\/j.acepjo.2025.100165_bib47","unstructured":"SAS 9.4, SAS Institute, Cary, NC, USA."},{"key":"10.1016\/j.acepjo.2025.100165_bib48","series-title":"Hospice Benefits","author":"Wermuth","year":"2024"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100165_bib59","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jemermed.2017.08.009","article-title":"Identifying advanced illness patients in the emergency department and having goals-of-care discussions to assist with early hospice referral","volume":"54","author":"Liberman","year":"2018","journal-title":"J Emerg Med"},{"issue":"1","key":"10.1016\/j.acepjo.2025.100165_bib49","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1001\/jama.291.1.88","article-title":"Family perspectives on end-of-life care at the last place of care","volume":"291","author":"Teno","year":"2004","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100165_bib56","article-title":"Understanding patients\u2019 end-of-life goals of care in the emergency department","volume":"2","author":"Swenson","year":"2021","journal-title":"J Am Coll Emerg Physicians Open"},{"issue":"1","key":"10.1016\/j.acepjo.2025.100165_bib57","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/08258597221149402","article-title":"Difficult conversations: outcomes of emergency department nurse-directed goals-of-care discussions","volume":"39","author":"Bigelow","year":"2024","journal-title":"J Palliat Care"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib58","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/j.1532-5415.2007.01610.x","article-title":"Do palliative consultations improve patient outcomes?","volume":"56","author":"Casarett","year":"2008","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"10.1016\/j.acepjo.2025.100165_bib50","first-page":"1587","article-title":"Changing the culture around end-of-life care in the trauma intensive care unit","volume":"64","author":"Mosenthal","year":"2008","journal-title":"J Trauma"},{"issue":"2","key":"10.1016\/j.acepjo.2025.100165_bib51","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.mayocp.2016.11.007","article-title":"Understanding palliative care and hospice: a review for primary care providers","volume":"92","author":"Buss","year":"2017","journal-title":"Mayo Clin Proc"},{"issue":"11","key":"10.1016\/j.acepjo.2025.100165_bib52","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1002\/cncr.29973","article-title":"Impact of end-of-life discussions on the reduction of Latino\/non-Latino disparities in do-not-resuscitate order completion","volume":"122","author":"Shen","year":"2016","journal-title":"Cancer"},{"issue":"3","key":"10.1016\/j.acepjo.2025.100165_bib53","doi-asserted-by":"crossref","first-page":"253","DOI":"10.15441\/ceem.22.341","article-title":"Palliative and end-of-life care in the emergency department","volume":"9","author":"Chang","year":"2022","journal-title":"Clin Exp Emerg Med"},{"key":"10.1016\/j.acepjo.2025.100165_bib60","series-title":"Palliative care for adults in the ED: concepts, presenting complaints, and symptom management [Internet]. UpToDate","author":"Quest","year":"2022"},{"issue":"1","key":"10.1016\/j.acepjo.2025.100165_bib54","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1001\/archinte.1990.00390130127020","article-title":"Training and practice activities of hematology and medical oncology diplomates","volume":"150","author":"Shea","year":"1990","journal-title":"Arch Intern Med"},{"issue":"4","key":"10.1016\/j.acepjo.2025.100165_bib55","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1634\/theoncologist.5-4-302","article-title":"SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer","volume":"5","author":"Baile","year":"2000","journal-title":"Oncologist"}],"container-title":["JACEP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2688115225001237?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2688115225001237?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T22:05:46Z","timestamp":1754431546000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2688115225001237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":58,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["S2688115225001237"],"URL":"https:\/\/doi.org\/10.1016\/j.acepjo.2025.100165","relation":{},"ISSN":["2688-1152"],"issn-type":[{"value":"2688-1152","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Benefits of Emergency Department-Initiated Goals of Care Conversations and Palliative Care Consultations Among Older Adults with Chronic or Serious Life-Limiting Illnesses","name":"articletitle","label":"Article Title"},{"value":"JACEP Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acepjo.2025.100165","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of American College of Emergency Physicians.","name":"copyright","label":"Copyright"}],"article-number":"100165"}}