ICU sedation, delirium & recovery
Institutional Variation in Specialty Palliative Care Consultation Among Patients With Persistent Critical Illness: A Cohort Study
Authors' conclusion
In this study, cross-hospital differences in PerCI development were not explained by differential use of early specialty palliative care consultation.
Study context
- Population
- Veterans admitted to Veterans Affairs (VA) ICUs, October 2015 through December 2021ICU hospitalizations, 104 VA hospitals
- Participants
- 371,280 veterans
- Exposure
- Lowest-quintile hospitals vs Highest-quintile hospitals
- Outcome
- Incidence of early specialty palliative care consultation (first 3 days of ICU admission) by hospital quintile of adjusted PerCI probability (PerCI = ICU LOS ≥11 days)
- Follow-up
- First 3 days of admission to the ICU
Methodological detailsmultilevel logistic regression, risk- and reliability-adjusted
- Multilevel logistic regression
- Risk- and reliability-adjusted
Main finding
As reported in the abstract
Early specialty palliative care consultation
Observational data: associations, not effects.
Further findings
Adjusted PerCI development by hospital quintile
Overall persistent critical illness (PerCI) and early palliative care consultation (all hospitalizations)
- PerCI
- 5.4% (n = 19,904 of 371,280)
- Early specialty palliative care consultation
- 4.8%
Hospital-level correlation of early palliative care consultation with PerCI probability (sensitivity analysis)
- Not correlated
- P = 0.17
Original publication
Institutional Variation in Specialty Palliative Care Consultation Among Patients With Persistent Critical Illness: A Cohort Study. Chest. Published 18 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →