{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:57:40Z","timestamp":1790495860066,"version":"4.1.0"},"reference-count":65,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Yale School of Medicine Office of Student Research","award":["Richard K. Gershon Endowed Medical Student Researc"],"award-info":[{"award-number":["Richard K. Gershon Endowed Medical Student Researc"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acute alcohol-associated hepatitis (AH) carries a high mortality risk. Little is known about utilization of specialty palliative care (PC) consultation in AH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>In a cohort of Veterans hospitalized with AH, we aimed to characterize predictors of PC consultation and short-term mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design\/Setting\/Subjects:<\/jats:title>\n                    <jats:p>This was a national retrospective cohort study (United States) of Veterans Health Administration patients with abnormal liver enzyme measurements hospitalized between 2008 and 2022. We used a validated algorithm to identify first hospitalizations with AH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>Descriptive statistics were tabulated. In multivariable analyses, we identified factors associated with PC consultation, in-hospital mortality, and post-discharge mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We identified 3907 first AH hospitalizations. Overall, 670 patients (17.2%) received a PC consult, with no significant temporal trend in PC consult use between 2008 and 2022. Most consults (71.9%) occurred late, after three days of hospitalization. In multivariable analysis, predictors of receiving PC included older age (odds ratio [OR:] for a five-year increase: 1.26,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), another or unknown race or ethnicity (OR: 1.38,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.016), and higher MELD 3.0 score (OR: for a five-point increase: 2.22,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Black Veterans were less likely to receive a PC consult compared to White Veterans (OR: 0.53,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Veterans who received a specialty PC consult were more likely to die while hospitalized (30.2% vs. 3.7%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and within 60 days of discharge (38.7% vs. 11.4%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). In multivariable analysis, PC consultation (OR: 4.30,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), age (OR: for a five-year increase: 1.20,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), another race or ethnicity (OR: 1.47,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001), and MELD 3.0 score (OR: 1.49,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) were associated with 60-day post-discharge mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Inpatient PC services may be underutilized in AH. PC consultation was associated with more comorbid illness and mortality, suggesting PC services are targeted toward patients nearing death. Black patients were less likely to receive PC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261488082","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:19:41Z","timestamp":1790140781000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Outcomes of Palliative Care Consultation in Veterans Hospitalized with Alcohol-Associated Hepatitis"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0180-0240","authenticated-orcid":false,"given":"Olivia","family":"Belliveau","sequence":"first","affiliation":[{"name":"Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Mezzacappa","sequence":"additional","affiliation":[{"name":"Division of Digestive Diseases, Department of Medicine, VA Connecticut Health Care System, West Haven, Connecticut, USA."},{"name":"Department of Medicine, VA Connecticut Health Care System, West Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpan","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Digestive Diseases, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, California, USA."},{"name":"Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Kapo","sequence":"additional","affiliation":[{"name":"Palliative Care Program, Yale University School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."},{"name":"Department of Medicine, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Taddei","sequence":"additional","affiliation":[{"name":"Division of Digestive Diseases, Department of Medicine, VA Connecticut Health Care System, West Haven, Connecticut, USA."},{"name":"Department of Medicine, VA Connecticut Health Care System, West Haven, Connecticut, 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