Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure

a nationwide cross-sectional questionnaire survey

Yuma Kurozumi, Shogo Oishi, Yasuo Sugano, Akihiro Sakashita, Norihiko Kotooka, Makoto Suzuki, Taiki Higo, Dai Yumino, Yasuko Takada, Seiko Maeda, Saori Yamabe, Koichi Washida, Tomonori Takahashi, Tomohito Ohtani, Yasushi Sakata, Yukihito Sato

Research output: Contribution to journalArticle

Abstract

Palliative care for end-stage heart failure should be provided by a multidisciplinary team. However, the influence of each occupational category on patients receiving palliative care for end-stage heart failure remains unclear. Thus, this study investigated the relationships between palliative care conferences and positive outcomes of palliative care for end-stage heart failure patients. We sent questionnaires to all cardiology training hospitals authorized by the Japanese Circulation Society (n = 1004); of these, responses from the directors at 554 institutions were analyzed. We divided the responding institutions into two groups according to their implementation of palliative care conferences for patients with end-stage heart failure. The institutions that had held such conferences (n = 223) had a larger number of hospital beds, beds in the cardiovascular department, and patients admitted to the cardiovascular department, compared with institutions that had not held these conferences (n = 321). The usage rates of opioids, non-steroidal anti-inflammatory drugs, and sedatives were significantly higher in institutions that held these conferences. Multivariate analysis revealed that nutritionists and medical social workers had greater involvement in the improvement of mental symptoms and ensuring that patients could stay where they wished, respectively. The presence of palliative care physicians, physical therapists, or pharmacists was associated with multiple positive outcomes. This study indicated that there are possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure.

Original languageEnglish
Pages (from-to)452-461
Number of pages10
JournalHeart and Vessels
Volume34
Issue number3
DOIs
Publication statusPublished - Mar 15 2019

Fingerprint

Palliative Care
Heart Failure
Cross-Sectional Studies
Nutritionists
Surveys and Questionnaires
Physical Therapists
Cardiology
Hypnotics and Sedatives
Pharmacists
Opioid Analgesics
Anti-Inflammatory Agents
Multivariate Analysis
Physicians
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure : a nationwide cross-sectional questionnaire survey. / Kurozumi, Yuma; Oishi, Shogo; Sugano, Yasuo; Sakashita, Akihiro; Kotooka, Norihiko; Suzuki, Makoto; Higo, Taiki; Yumino, Dai; Takada, Yasuko; Maeda, Seiko; Yamabe, Saori; Washida, Koichi; Takahashi, Tomonori; Ohtani, Tomohito; Sakata, Yasushi; Sato, Yukihito.

In: Heart and Vessels, Vol. 34, No. 3, 15.03.2019, p. 452-461.

Research output: Contribution to journalArticle

Kurozumi, Y, Oishi, S, Sugano, Y, Sakashita, A, Kotooka, N, Suzuki, M, Higo, T, Yumino, D, Takada, Y, Maeda, S, Yamabe, S, Washida, K, Takahashi, T, Ohtani, T, Sakata, Y & Sato, Y 2019, 'Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure: a nationwide cross-sectional questionnaire survey', Heart and Vessels, vol. 34, no. 3, pp. 452-461. https://doi.org/10.1007/s00380-018-1261-y
Kurozumi, Yuma ; Oishi, Shogo ; Sugano, Yasuo ; Sakashita, Akihiro ; Kotooka, Norihiko ; Suzuki, Makoto ; Higo, Taiki ; Yumino, Dai ; Takada, Yasuko ; Maeda, Seiko ; Yamabe, Saori ; Washida, Koichi ; Takahashi, Tomonori ; Ohtani, Tomohito ; Sakata, Yasushi ; Sato, Yukihito. / Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure : a nationwide cross-sectional questionnaire survey. In: Heart and Vessels. 2019 ; Vol. 34, No. 3. pp. 452-461.
@article{22fcba59761343f1b83b2bb1be7153d8,
title = "Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure: a nationwide cross-sectional questionnaire survey",
abstract = "Palliative care for end-stage heart failure should be provided by a multidisciplinary team. However, the influence of each occupational category on patients receiving palliative care for end-stage heart failure remains unclear. Thus, this study investigated the relationships between palliative care conferences and positive outcomes of palliative care for end-stage heart failure patients. We sent questionnaires to all cardiology training hospitals authorized by the Japanese Circulation Society (n = 1004); of these, responses from the directors at 554 institutions were analyzed. We divided the responding institutions into two groups according to their implementation of palliative care conferences for patients with end-stage heart failure. The institutions that had held such conferences (n = 223) had a larger number of hospital beds, beds in the cardiovascular department, and patients admitted to the cardiovascular department, compared with institutions that had not held these conferences (n = 321). The usage rates of opioids, non-steroidal anti-inflammatory drugs, and sedatives were significantly higher in institutions that held these conferences. Multivariate analysis revealed that nutritionists and medical social workers had greater involvement in the improvement of mental symptoms and ensuring that patients could stay where they wished, respectively. The presence of palliative care physicians, physical therapists, or pharmacists was associated with multiple positive outcomes. This study indicated that there are possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure.",
author = "Yuma Kurozumi and Shogo Oishi and Yasuo Sugano and Akihiro Sakashita and Norihiko Kotooka and Makoto Suzuki and Taiki Higo and Dai Yumino and Yasuko Takada and Seiko Maeda and Saori Yamabe and Koichi Washida and Tomonori Takahashi and Tomohito Ohtani and Yasushi Sakata and Yukihito Sato",
year = "2019",
month = "3",
day = "15",
doi = "10.1007/s00380-018-1261-y",
language = "English",
volume = "34",
pages = "452--461",
journal = "Heart and Vessels",
issn = "0910-8327",
publisher = "Springer Japan",
number = "3",

}

TY - JOUR

T1 - Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure

T2 - a nationwide cross-sectional questionnaire survey

AU - Kurozumi, Yuma

AU - Oishi, Shogo

AU - Sugano, Yasuo

AU - Sakashita, Akihiro

AU - Kotooka, Norihiko

AU - Suzuki, Makoto

AU - Higo, Taiki

AU - Yumino, Dai

AU - Takada, Yasuko

AU - Maeda, Seiko

AU - Yamabe, Saori

AU - Washida, Koichi

AU - Takahashi, Tomonori

AU - Ohtani, Tomohito

AU - Sakata, Yasushi

AU - Sato, Yukihito

PY - 2019/3/15

Y1 - 2019/3/15

N2 - Palliative care for end-stage heart failure should be provided by a multidisciplinary team. However, the influence of each occupational category on patients receiving palliative care for end-stage heart failure remains unclear. Thus, this study investigated the relationships between palliative care conferences and positive outcomes of palliative care for end-stage heart failure patients. We sent questionnaires to all cardiology training hospitals authorized by the Japanese Circulation Society (n = 1004); of these, responses from the directors at 554 institutions were analyzed. We divided the responding institutions into two groups according to their implementation of palliative care conferences for patients with end-stage heart failure. The institutions that had held such conferences (n = 223) had a larger number of hospital beds, beds in the cardiovascular department, and patients admitted to the cardiovascular department, compared with institutions that had not held these conferences (n = 321). The usage rates of opioids, non-steroidal anti-inflammatory drugs, and sedatives were significantly higher in institutions that held these conferences. Multivariate analysis revealed that nutritionists and medical social workers had greater involvement in the improvement of mental symptoms and ensuring that patients could stay where they wished, respectively. The presence of palliative care physicians, physical therapists, or pharmacists was associated with multiple positive outcomes. This study indicated that there are possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure.

AB - Palliative care for end-stage heart failure should be provided by a multidisciplinary team. However, the influence of each occupational category on patients receiving palliative care for end-stage heart failure remains unclear. Thus, this study investigated the relationships between palliative care conferences and positive outcomes of palliative care for end-stage heart failure patients. We sent questionnaires to all cardiology training hospitals authorized by the Japanese Circulation Society (n = 1004); of these, responses from the directors at 554 institutions were analyzed. We divided the responding institutions into two groups according to their implementation of palliative care conferences for patients with end-stage heart failure. The institutions that had held such conferences (n = 223) had a larger number of hospital beds, beds in the cardiovascular department, and patients admitted to the cardiovascular department, compared with institutions that had not held these conferences (n = 321). The usage rates of opioids, non-steroidal anti-inflammatory drugs, and sedatives were significantly higher in institutions that held these conferences. Multivariate analysis revealed that nutritionists and medical social workers had greater involvement in the improvement of mental symptoms and ensuring that patients could stay where they wished, respectively. The presence of palliative care physicians, physical therapists, or pharmacists was associated with multiple positive outcomes. This study indicated that there are possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure.

UR - http://www.scopus.com/inward/record.url?scp=85053735117&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053735117&partnerID=8YFLogxK

U2 - 10.1007/s00380-018-1261-y

DO - 10.1007/s00380-018-1261-y

M3 - Article

VL - 34

SP - 452

EP - 461

JO - Heart and Vessels

JF - Heart and Vessels

SN - 0910-8327

IS - 3

ER -