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dc.contributor.authorHerrera Abián, María
dc.contributor.authorAntón Rodríguez, Cristina 
dc.contributor.authorNoguera, Antonio
dc.date.accessioned2023-05-05T09:54:26Z
dc.date.available2023-05-05T09:54:26Z
dc.date.issued2022
dc.identifier.issn0885-3924spa
dc.identifier.urihttps://hdl.handle.net/10641/3383
dc.description.abstractContext Hospital deaths carry a significant healthcare cost that has been confirmed to be lower when palliative care units (PCUs) are available. Objectives To compare the last admission hospital health care cost of dying in a first-level hospital between the PCU and the rest of the hospital services. Methods A retrospective, comparative, observational study evaluating costs from the payer perspective on treatments and diagnostic-therapeutic tests performed on patients who die in first-level hospital, comparing whether they were treated by the PCU or another unit (Non-PCU). Patients with a mortality risk >2 were included according to the Severity of Illness Index (SOI) and Risk of Mortality (MOR). All cost express in €, median per patient and interquartile range (IQR). Results From 1,833 patients who died, 1,389 were included, 442 (31.1%) treated by PCU and 928 (68.9%) Non-PCU. Statistical differences were found for the last admission total cost (€262.8 (€470.1) for PCU versus €515.3 (€980.48) in Non-PCU), daily total cost (€74.27 (€127.4) vs €115.8 (€142.4) Non-PCU). Savings were maintained when the sample was broken down by diagnosis-related group (DRG) and a multivariate analysis was performed to determine how the different patients baseline characteristics between PCU and Non-PCU patients influenced the results obtained. Conclusions Data from this study show that cost is significantly lower when the patients are treated by a PCU during their last hospital stay when they pass away.spa
dc.language.isoengspa
dc.publisherJournal of Pain and Symptom Managementspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectPalliative carespa
dc.subjectInpatientspa
dc.subjectHospitalspa
dc.subjectDeathspa
dc.titleEnd of Life Cost Savings in the Palliative Care Unit Compared to Other Services.spa
dc.typejournal articlespa
dc.type.hasVersionAMspa
dc.rights.accessRightsopen accessspa
dc.description.extent159 KBspa
dc.identifier.doi10.1016/j.jpainsymman.2022.06.016spa
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0885392422007941spa


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Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España