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Impact of Home-Based Pediatric Palliative Care on Hospital and Emergency Department Utilization at a Single

Kimberly A Bower1, Megan Lau2, Robin Short1

  • 1Division of Hospice and Palliative Medicine, Rady Children's Hospital San Diego, San Diego, California, USA.

Journal of Palliative Medicine
|February 4, 2022
PubMed

Insights

Home-based pediatric palliative care (PPC) significantly reduces hospital admissions and days spent in the hospital for children. This care model improves outcomes for pediatric patients needing specialized support at home.

Area of Science:

  • Pediatrics
  • Palliative Care
  • Health Services Research

Background:

  • Limited data exists on the demographics and utilization outcomes of home-based pediatric palliative care (PPC).
  • Understanding these aspects is crucial for optimizing care delivery and resource allocation.
  • Home-based PPC aims to provide comprehensive support to children with serious illnesses in their home environment.

Purpose of the Study:

  • To describe the characteristics of children receiving home-based PPC.
  • To compare healthcare utilization, specifically emergency department visits, hospital admissions, and hospital days, one year before and after initiating home-based PPC.
  • To evaluate the impact of home-based PPC on hospital-related resource use.

Main Methods:

  • An exploratory retrospective medical chart review was conducted.
  • Data was extracted for 154 patients (birth to 21 years) who received home-based PPC between January 1, 2015, and July 31, 2016.
  • Demographic information and hospital utilization data were analyzed.

Main Results:

  • The median number of hospitalizations decreased significantly from 2 to 1 after initiating home-based PPC (p < 0.001).
  • The median total number of hospital days admitted also decreased significantly from 16 to 4 days (p < 0.001).
  • Emergency department visits were also analyzed, though specific results were not detailed in the abstract.

Conclusions:

  • Children enrolled in home-based PPC programs experience a significant reduction in hospital admissions.
  • Home-based PPC leads to a substantial decrease in the total number of hospital days utilized by pediatric patients.
  • These findings highlight the effectiveness of home-based PPC in managing pediatric patients with serious illnesses and reducing healthcare utilization.

Keywords:
ED utilizationhome-basedhospital utilizationpalliative carepediatrics

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