{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T07:52:43Z","timestamp":1781855563364,"version":"3.54.5"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"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":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Out-of-hospital cardiac arrest (OHCA) is associated with high morbidity and mortality, often requiring complex decision-making in the intensive care unit (ICU). Palliative care may facilitate goal-aligned care but remains underutilized in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of palliative care consultation on end-of-life decision-making and clinical outcomes in ICU patients following OHCA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a mixed retrospective\u2013prospective cohort study of 61 retrospective and 40 prospective adult patients admitted to the ICU after OHCA at a tertiary academic center. Patients were grouped by palliative care consultation. Primary outcomes were in-hospital mortality and ICU and hospital length of stay. Secondary outcomes included the proportion of patients with code status change, the timing of code status changes and withdrawal of life-sustaining treatment from ICU admission in both groups, and withdrawal of life-sustaining treatment. Illness severity was assessed using the Sequential Organ Failure Assessment (SOFA) score at ICU admission and at 72\u00a0hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 101 patients admitted after OHCA, 34 (33.7%) received a palliative care consultation. In-hospital mortality was higher among patients who received palliative care consultation than among those who did not (79.4% vs 41.8%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0003). SOFA scores at ICU admission and at 72\u00a0hours were similar between patients seen by palliative care and those not seen by palliative care (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.72 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.27, respectively). All patients who received a palliative care consultation (100%) had a change in code status during hospitalization, compared to 32.8% of those who did not (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). The time from ICU admission to withdrawal of life-sustaining treatment was significantly longer in the palliative care group (6.0 vs 3.0\u00a0days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.016), while the time to code status change was similar between groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.415). There were no significant differences in ICU or hospital length of stay, or use of vasopressors, mechanical ventilation, or continuous renal replacement therapy. Among patients who received palliative care consultation, the most common interventions included goals-of-care clarification (85.3%), symptom management, and spiritual or emotional support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In ICU patients following OHCA, palliative care consultation was associated with higher in-hospital mortality despite similar baseline characteristics, illness severity by SOFA score, and treatment intensity, likely reflecting preferential consultation in patients with greater clinical complexity rather than a causal relationship. Palliative care consultation was strongly associated with goals-of-care redirection and a more deliberate process of end-of-life decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261458693","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:11:03Z","timestamp":1781611863000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Palliative Care Consultation with Outcomes after Out-of-Hospital Cardiac Arrest"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2676-6747","authenticated-orcid":false,"given":"Gabriel","family":"Patarroyo-Aponte","sequence":"first","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Asim","family":"Amjad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Bertini","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Pinchover","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin D.","family":"Estevez Perez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariana V.","family":"Aquino Hernandez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Cortes","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Memorial Hermann Hospital, Texas Medical Center","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Zubair","family":"Ahmed","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3554-8629","authenticated-orcid":false,"given":"Brandon","family":"Sarver","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojie","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine"},{"name":"McGovern Medical School"},{"name":"University of Texas Health Science Center at Houston,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ha","sequence":"additional","affiliation":[{"name":"University of Texas Health Science Center at Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001052"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.158.4.9801108"},{"key":"e_1_3_3_4_2","unstructured":"World Health Organization. Palliative care. Published August 5 2020. 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