{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T10:59:28Z","timestamp":1780829968644,"version":"3.54.1"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","award":["CTSA Grant Number UL1 TR000135"],"award-info":[{"award-number":["CTSA Grant Number UL1 TR000135"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To determine the frequency with which emergency medical services (EMS) clinicians recognize patients enrolled in hospice and describe their prehospital management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Observational cohort study of patients enrolled in hospice who were transported by EMS within a health system between May 5, 2018, and June 4, 2023. Two physicians reviewed each encounter to determine whether interventions were comfort-focused (hospice philosophy) or life-sustaining care. Interrater reliability was 100% (k = 1.0). Descriptive statistics are provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      EMS clinicians identified hospice enrollment in 51% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 46) of 88 encounters. Most patients (90%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 79) received comfort-focused care. Life-sustaining care was provided to four patients identified as hospice-enrolled and included cardiopulmonary resuscitation, an advanced airway, and vasopressors (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 25%); spinal immobilization (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2, 50%), and naloxone (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 25%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most patients received care consistent with the philosophy of hospice. However, EMS clinicians may have only identified half of patients enrolled in hospice. This demonstrates an opportunity to improve recognition of patients\u2019 care preferences, starting in the out-of-hospital setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261425592","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T07:59:42Z","timestamp":1772438382000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Between Crisis and Comfort: Emergency Medical Services Recognition and Management of Hospice Patients: A Cohort Study"],"prefix":"10.1177","author":[{"given":"Stephanie","family":"Franczak","sequence":"first","affiliation":[{"name":"Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander D.","family":"Ginsburg","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."},{"name":"Department of Medicine, Division of Community Internal Medicine, Geriatrics &amp; Palliative Care, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla P.","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Bellolio","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."},{"name":"Department of Medicine, Division of Community Internal Medicine, Geriatrics &amp; Palliative Care, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron B.","family":"Klassen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."},{"name":"Mayo Clinic Ambulance Service, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidan","family":"Mullan","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9086-1968","authenticated-orcid":false,"given":"Sarayna S.","family":"McGuire","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA."},{"name":"Mayo Clinic Ambulance Service, Mayo Clinic, Rochester, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119756279.ch1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.048793"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.06.569"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0738-3991(00)00110-5"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2023.2193978"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.2015"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2015.0550"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2015.0178"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2017.1358781"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.04.175"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.08.022"},{"key":"e_1_3_2_14_2","unstructured":"National Hospice and Palliative Care Organization: NHPCO Facts and Figures. Available from: https:\/\/allianceforcareathome.org\/wp-content\/uploads\/2024\/09\/Facts-Figures-2024_FINAL.pdf [Last accessed: September18 2025]."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000534"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0143"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16294"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2024.12.016"},{"key":"e_1_3_2_19_2","unstructured":"National POLST. Patient FAQs. Available from: https:\/\/polst.org\/frequently-asked-questions-for-patients\/ [Last accessed: November11 2025]."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2015.03.001"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261425592","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261425592","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261425592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,7]],"date-time":"2026-06-07T10:17:47Z","timestamp":1780827467000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261425592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,1]]},"references-count":19,"alternative-id":["10.1177\/10966218261425592"],"URL":"https:\/\/doi.org\/10.1177\/10966218261425592","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,1]]},"article-number":"10966218261425592"}}