The use of hospital-based services by heart failure patients in the last year of life: a discussion paper

Singh, GK; Davidson, PM; Macdonald, PS; Newton, PJ

The use of hospital-based services by heart failure patients in the last year of life: a discussion paper

Singh, GK

Davidson, PM

Macdonald, PS Newton, PJ

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Publication Type:: Journal Article
Citation:: Heart Failure Reviews, 2019, 24 (2), pp. 199 - 207
Issue Date:: 2019-03-15

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Field	Value	Language
dc.contributor.author	Singh, GK https://orcid.org/0000-0003-1945-7556	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Macdonald, PS	en_US
dc.contributor.author	Newton, PJ https://orcid.org/0000-0002-5006-2037	en_US
dc.date.issued	2019-03-15	en_US
dc.identifier.citation	Heart Failure Reviews, 2019, 24 (2), pp. 199 - 207	en_US
dc.identifier.issn	1382-4147	en_US
dc.identifier.uri	http://hdl.handle.net/10453/135769
dc.description.abstract	© 2018, Springer Science+Business Media, LLC, part of Springer Nature. Individuals with chronic heart failure have high utilisation of hospital-related services towards the end of life and receive treatments that provide symptom relief without improving life expectancy. The aim of this discussion paper is to determine chronic heart failure patients’ use of acute hospital-based services in their last year of life and to discuss the potential for palliative care to reduce service utilisation. A systematic search of the literature was conducted. Medline, Cumulative Index for Nursing and Allied Health (CINAHL) and SCOPUS databases were used to systematically search for literature from database commencement to September 2016. Specific inclusion criteria and search terms were used to identify relevant studies on heart failure patients’ use of hospital services in their last year of life. There were 12 studies that evaluated the use of hospital-based services by chronic heart failure patients at the end of life. In all studies, it was found that chronic heart failure patients used acute hospital-based services as death approached. However, only two studies examined if palliative care consultations were obtained by patients, and neither study assessed the impact that these consultations had on service utilisation in the last year of life. Heart failure negatively impacts health status, and this is a predictor of service utilisation. Further research is needed to determine the efficacy of both primary and secondary palliative care in reducing resource use towards the end of life and improving the quality of end of life care.	en_US
dc.relation.ispartof	Heart Failure Reviews	en_US
dc.relation.isbasedon	10.1007/s10741-018-9751-7	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Cardiovascular System & Hematology	en_US
dc.title	The use of hospital-based services by heart failure patients in the last year of life: a discussion paper	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	24	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	24	en_US

Abstract:

© 2018, Springer Science+Business Media, LLC, part of Springer Nature. Individuals with chronic heart failure have high utilisation of hospital-related services towards the end of life and receive treatments that provide symptom relief without improving life expectancy. The aim of this discussion paper is to determine chronic heart failure patients’ use of acute hospital-based services in their last year of life and to discuss the potential for palliative care to reduce service utilisation. A systematic search of the literature was conducted. Medline, Cumulative Index for Nursing and Allied Health (CINAHL) and SCOPUS databases were used to systematically search for literature from database commencement to September 2016. Specific inclusion criteria and search terms were used to identify relevant studies on heart failure patients’ use of hospital services in their last year of life. There were 12 studies that evaluated the use of hospital-based services by chronic heart failure patients at the end of life. In all studies, it was found that chronic heart failure patients used acute hospital-based services as death approached. However, only two studies examined if palliative care consultations were obtained by patients, and neither study assessed the impact that these consultations had on service utilisation in the last year of life. Heart failure negatively impacts health status, and this is a predictor of service utilisation. Further research is needed to determine the efficacy of both primary and secondary palliative care in reducing resource use towards the end of life and improving the quality of end of life care.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/135769