{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:38:34Z","timestamp":1785199114356,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:00:00Z","timestamp":1771632000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Heart failure hospitalizations are linked to high morbidity and mortality. Palliative care consultation may improve symptom management and quality of life yet remains underutilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate recent trends in palliative care consultation and do-not-resuscitate status among heart failure hospitalizations, as well as associated outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study using the United States National Readmission Database from 2016 through 2022. Hospitalizations with a discharge diagnosis of heart failure were categorized into four groups: palliative care consultation only, do-not-resuscitate status only, both palliative care consultation and do-not-resuscitate status, or neither.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>A total of 7,533,995 weighted hospitalizations with a discharge diagnosis of heart failure were identified. Of these, 281,720 (3.7%) included both palliative care consultation and do-not-resuscitate status, 124,236 (1.6%) utilized palliative care consultation only, 862,535 (11.4%) included do-not-resuscitate status only, and 6,265,504 (83.2%) included neither.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Utilization of palliative care consultation (4.7%\u20135.9%) and do-not-resuscitate status (12.4%\u201316.6%) increased over the study period. In unadjusted analyses, all-cause in-hospital mortality was highest in the both palliative care consultation\/do-not-resuscitate status group (31%). Thirty-day unplanned readmission rate was highest in the no palliative care consultation\/do-not-resuscitate status group (22.7%). Notably, 50.6% of heart failure admissions who died during hospitalization did not receive a palliative care consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>While palliative care and do-not-resuscitate use among heart failure hospitalizations have increased, they remain low. Over half of those who die during a heart failure admission do not receive palliative care consultation, underscoring missed opportunities to optimize end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261416339","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T11:52:47Z","timestamp":1771674767000},"page":"556-564","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A nationwide retrospective analysis of trends in palliative care consultation and do-not-resuscitate status in heart failure hospitalizations"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4198-6515","authenticated-orcid":false,"given":"Nikitha","family":"Murthy","sequence":"first","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9395-0851","authenticated-orcid":false,"given":"Ramy","family":"Sedhom","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purvi","family":"Parwani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0237-8069","authenticated-orcid":false,"given":"Megan","family":"Pelter","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liset","family":"Stoletniy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Doctorian","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Sakr","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0571-3109","authenticated-orcid":false,"given":"Dmitry","family":"Abramov","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loma Linda University Health, CA, USA"},{"name":"Department of Cardiology, Loma Linda University Health, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2024.07.001"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2020.12.020"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001016"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.1236"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.04.235"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.08.001"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"issue":"18","key":"e_1_3_2_9_2","article-title":"Correction to: 2022 AHA\/ACC\/HFSA guideline for the management of heart failure: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"145","author":"Heidenreich PA","year":"2022","unstructured":"Heidenreich PA, Bozkurt B, Aguilar D, et al. 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