{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:49:52Z","timestamp":1777380592806,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,9,15]],"date-time":"2017-09-15T00:00:00Z","timestamp":1505433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Intern Med"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>End\u2010stage heart failure (<jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>) is characterized by high symptom burden and frequent hospitalization. Palliative care (<jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content>) is recommended for advanced <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>, and there is some evidence in other diseases that this may reduce readmission rates. We attempted examine the association of an inpatient <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit on hospital readmission for patients admitted with <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective linked nationwide analysis from 2013 with 9\u2010month follow\u2010up for all hospital readmissions for patients admitted with <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> exacerbations using the Nationwide Readmission Database (<jats:styled-content style=\"fixed-case\">NRD<\/jats:styled-content>). The <jats:styled-content style=\"fixed-case\">NRD<\/jats:styled-content> gathers all hospital admissions for patients from 22 states and tracks patients throughout the year, allowing for examination of readmission statistics. A propensity score model for <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit was made, and patients were matched in a 1\u00a0:\u00a01 fashion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 102\u00a0746 patients who survived an admission for <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> in the first 3\u00a0months of 2013. Of these, 2287 (2.2%) patients had a <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit as inpatients.<\/jats:p><jats:p>After matching based on propensity for a <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit during the index hospitalization, 2282 patients who received a <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit were matched to 2282 patients who did not. Those receiving a <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit were less likely to be readmitted for <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> (9.3% vs. 22.4%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01) or for any cause (29.0% vs. 63.2%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01) during the 9\u2010month follow\u2010up period. The average hospital charges during the follow\u2010up period for the non\u2010<jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> cohort were $77\u00a0643 per patient. The average charges for <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> patients were $23\u00a0200 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> who received an inpatient <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit had significantly lower rates of all\u2010cause and <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\u2010specific readmission in the subsequent 9\u00a0months. Total 9\u2010month hospital charges were also significantly lower for patients who received an inpatient <jats:styled-content style=\"fixed-case\">PC<\/jats:styled-content> visit.<\/jats:p><\/jats:sec>","DOI":"10.1111\/joim.12657","type":"journal-article","created":{"date-parts":[[2017,7,25]],"date-time":"2017-07-25T10:49:17Z","timestamp":1500979757000},"page":"445-451","source":"Crossref","is-referenced-by-count":38,"title":["Inpatient palliative care referral and 9\u2010month hospital readmission in patients with congestive heart failure: a linked nationwide analysis"],"prefix":"10.1111","volume":"282","author":[{"given":"K.","family":"Wiskar","sequence":"first","affiliation":[{"name":"Department of Medicine Division of General Internal Medicine St. Paul's Hospital University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. 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R.","family":"Walley","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Critical Care Medicine St. Paul's Hospital University of British Columbia Vancouver BC Canada"},{"name":"Centre for Heart Lung Innovation (HLI) University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Fruhstorfer","sequence":"additional","affiliation":[{"name":"Department of Medicine University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9201-8352","authenticated-orcid":false,"given":"B.","family":"Rush","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Critical Care Medicine St. Paul's Hospital University of British Columbia Vancouver BC Canada"},{"name":"Centre for Heart Lung Innovation (HLI) University of British Columbia Vancouver BC Canada"},{"name":"Harvard T.H. 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