Identifying Patients in the Acute Psychiatric Hospital Who May Benefit From a Palliative Care Approach

M. Caroline Burton, Mark Warren, Stephen S. Cha, Maria Stevens, Megan Blommer, Simon Kung, Maria Isabel Lapid

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Identifying patients who will benefit from a palliative care approach is the first critical step in integrating palliative with curative therapy. Criteria are established that identify hospitalized medical patients who are near end of life, yet there are no criteria with respect to hospitalized patients with psychiatric disorders. The records of 276 consecutive patients admitted to a dedicated inpatient psychiatric unit were reviewed to identify prognostic criteria predictive of mortality. Mortality predictors were 2 or more admissions in the past year (P =.0114) and older age (P =.0006). Twenty-two percent of patients met National Hospice and Palliative Care Organization noncancer criteria for dementia. Palliative care intervention should be considered when treating inpatients with psychiatric disorders, especially older patients who have a previous hospitalization or history of dementia.

Original languageEnglish (US)
Pages (from-to)228-232
Number of pages5
JournalAmerican Journal of Hospice and Palliative Medicine
Volume33
Issue number3
DOIs
StatePublished - Apr 1 2016

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Keywords

  • dementia
  • hospice
  • hospital medicine
  • mortality
  • palliative medicine
  • prognosis

ASJC Scopus subject areas

  • Medicine(all)

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