title: Factors associated with utilization of an inpatient palliative care consultation service in an urban public hospital.
abstract: BACKGROUND
  To evaluate factors associated with palliative care consultation (PCC) in an urban public hospital.
  
  
  METHODS
  A retrospective chart review of patients who died on inpatient medical services.
  
  
  RESULTS
  Patients with a PCC were more likely to have a "do not resuscitate" (DNR) order at the time of death (p<0.001) and had a decreased likelihood of death in the ICU (p<0.001). Factors associated with PCC in a multivariate analysis included: cancer diagnosis (p=0.01), at least a high school education (p=0.04), older age (p=.003), and birth outside the US (p=0.03).
  
  
  CONCLUSIONS
  The increased PCC utilization for immigrants is in contrast to previously reported literature. This increased use may be because access to services in a municipal hospital is not driven by demographic and socioeconomic factors.
authors.affiliation: Department of Medicine, New York University, New York City, NY, USA pavan.bhatraju@nyumc.org.
authors.forename: Pavan
authors.initials: P
authors.lastname: Bhatraju
authors.affiliation: Department of Medicine, Santa Clara Valley Medical Center, San Jose, CA, USA.
authors.forename: Allison S
authors.initials: AS
authors.lastname: Friedenberg
authors.affiliation: Department of Medicine, New York University, New York City, NY, USA.
authors.forename: Amit
authors.initials: A
authors.lastname: Uppal
authors.affiliation: Department of Medicine, New York University, New York City, NY, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Evans
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009519:New York City; D010166:Palliative Care / Q000706:statistics & numerical data*; D016414:Resuscitation Orders; D012189:Retrospective Studies; D012959:Socioeconomic Factors
keywords: disparities; end of life; goals of care; inpatient; palliative; urban; utilization