Format

Send to

Choose Destination
BMJ Support Palliat Care. 2013 Dec;3(4):452-5. doi: 10.1136/bmjspcare-2012-000371. Epub 2013 Jan 3.

Use of a structured palliative care summary in patients with established cancer is associated with reduced hospital admissions by out-of-hours general practitioners in Grampian.

Author information

1
Centre for Academic Primary Care, University of Aberdeen, Aberdeen, UK.

Abstract

OBJECTIVES:

Palliative care summaries are used by general practices to provide structured anticipatory care information to those providing care during the out-of-hours period. We hypothesised that the availability of a palliative care summary for individuals with established cancer would influence emergency hospital admission during the out-of-hours period.

METHODS:

Each consultation with Grampian Medical Emergency Department (GMED) is recorded on the ADASTRA software system and the nature of the consultation is Read coded. We retrospectively reviewed consultations between 1 January 2011 and 31 December 2011 which had been coded as 'neoplasm' or 'terminal care'. The availability of a palliative care summary on ADASTRA and admission status were recorded. χ(2) Test of association was performed. Binary logistic regression was used for multivariate analysis exploring the effect of a palliative care summary on admission, while adjusting for important confounders.

RESULTS:

401 patients with established cancer were identified who had presented to GMED in 2011. 35.7% had a palliative care summary available on ADASTRA. Of the 401 contacts, 100 patients were admitted to hospital. Not having a palliative care summary made admission significantly more likely; χ(2)=12.480, p=0.001. (OR 2.425, 95% CI 1.412 to 4.165).

CONCLUSIONS:

Availability of a structured palliative care plan can aid decision making in the out-of-hours period and prevent unplanned hospital admissions.

KEYWORDS:

Cancer; Home care; Supportive care

PMID:
24950526
DOI:
10.1136/bmjspcare-2012-000371
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for HighWire
Loading ...
Support Center