Heart failure & cardiomyopathies
Association of Palliative Care Consultation in Patients With Heart Failure With Preserved Ejection Fraction With Symptom Burden and Health Care Use
Authors' conclusion
PC consultation is associated with reduced potential unwanted health care utilization and improvement in symptoms in patients with HFpEF in their last 3 years of life.
Study context
- Population
- Patients with heart failure with preserved ejection fraction (HFpEF) who died within 3 years of diagnosis26.4% received palliative care (PC) consult
- Participants
- 226,921 patients
- Exposure
- PC consultation vs no PC consultation
- Outcome
- Symptom burden and health care utilization
- Follow-up
- Last 3 years of life
Methodological detailspropensity-score matched, 72 centres, mainly US
- Propensity-score matched
- 72 centres, mainly US
Main finding
As reported in the abstract
Health care utilization
ED visit or hospitalization
Surgery or anesthesia
Critical care
CV procedures or tests
Observational data: associations, not effects.
Further findings
| Outcome | Values |
|---|---|
| Cognitive symptoms · last 3 years of lifePropensity-matched cohort | PC consult 1.7% |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Association of Palliative Care Consultation in Patients With Heart Failure With Preserved Ejection Fraction With Symptom Burden and Health Care Use. JACC Adv. Published 4 December 2024. doi:10.
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