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Association between palliative care and death at home in adults with heart failure

Journal of the American Heart Association Feb 27, 2020

Quinn KL, Hsu AT, Smith G, et al. - Researchers performed this population-based cohort analysis to examine the delivery of newly started palliative care services in adults who die with heart failure, as well as to estimate the link between receipt of palliative care and death at home vs those who did not receive palliative care. Linked health administrative data were obtained for 74,986 community-dwelling adults suffering from heart failure who died between 2010 and 2015. This inquiry was undertaken in Ontario, Canada. Findings revealed that the death of most adults with heart failure (75%) occurred in a hospital. An increased probability of dying at home was observed in relation to providing palliative care near the end-of-life. The time of initiating palliative care, in most cases, was late in the course of a person's disease. It was indicated that end-of-life care may be improved in individuals dying with chronic noncancer illness by scaling current palliative care programs to improve access.
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