February 2025 PMID 39441096

The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical Intensive Care Unit: An Instrumental Variable Analysis.

Chad H Hochberg, Rebecca A Gersten, Khyzer B Aziz, Margaret D Krasne, Li Yan, Alison E Turnbull, Daniel Brodie, Michelle Churchill, Danielle J Doberman, Theodore J Iwashyna, David N Hager

Mentions

6
Peak: 2 in Feb 2025
across 3 sources since Oct 2024

Extended reach

12,653
potential audience

Total likes

19

Video views

11

Mentions per month

Oct 2024 – Apr 2025

Where it's discussed

  • Bluesky4 posts
  • X / Twitter1 posts
  • YouTube1 videos

AI synopsis

What people are saying

The posts express nuanced perspectives, highlighting the distinction between ideal practices and actual clinical behavior, with phrases like 'what OUGHT be done' versus 'what IS done,' which suggest reflective engagement. References to specific elements like mortality risk criteria and the mention of learning health systems underscore thoughtful analysis and cautious optimism about applying the research findings in real clinical settings.

AgreementModerate agreement

Most discussions acknowledge the study's nuanced findings, recognizing that early screening has complex effects on ICU practices.

InterestModerate interest

The posts demonstrate moderate curiosity, discussing the theoretical and practical implications rather than superficial reactions.

EngagementModerate engagement

Participants reference specific aspects such as the methodology, criteria, and real-world implications, indicating engaged consideration.

ImpactModerate impact

While some posts suggest potential influence on ICU protocols, they also reflect ongoing debates about actual changes in care and patient outcomes.

Abstract in brief

  • The study aims to assess the impacts of early screening for palliative care in ICU patients to align their care with personal goals and potentially shorten their ICU stays.*
  • Using a retrospective cohort approach, researchers compared ICU admissions before and after implementing palliative care screening, focusing on how this screening affected the use of specialist palliative care and various patient outcomes.*
  • Results showed that after screening implementation, there was a significant increase in early palliative care consultations (17% vs 1%), indicating a positive shift in palliative care use following the new protocol.*

Top posts

Most liked on X and Bluesky
Jack Iwashyna
@iwashyna.bsky.social · Bluesky

Sometimes building a learning health system means learning when things you love aren’t doing the things you hoped The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical ICU: An Instrumental Variable Analysis. Hochberg, et al pubmed.ncbi.nlm.nih.gov/39441096/

Oct 24, 2024 · 9 likes · 4 shares View post →
ATS BSHR Assembly
@ats-bshsr.bsky.social · Bluesky

The Real-World Effect of #Early #Screening for #Palliative #Care Criteria in a Medical #ICU: An #Instrumental #Variable Analysis https://buff.ly/4eAyFh1

Nov 20, 2024 · 6 likes · 1 share View post →
Annals of the ATS
@annalsats.bsky.social · Bluesky

The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical ICU Using criteria that indicate mortality risk may not yield care uptake in the ICU or affect transitions to DNR, time in the ICU @chadhoc.bsky.social @atscommunity.bsky.social

Feb 7, 2025 · 2 likes · 1 share View post →
Annals of the ATS
@AnnalsATS · X

The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical ICU Using criteria that indicate mortality risk may not yield care uptake in the ICU or affect transitions to DNR, time in the ICU @ChadHoc @davidnhager @iwashyna https://t.co/e5eq8lOlil https://t.co/e6SVSr4Gjr

Feb 7, 2025 · 1 like · 12,629 followers View post →

All mentions

Jack Iwashyna
@iwashyna.bsky.social · Bluesky

There is a nuanced conversation to be had here, Jon, that relates to the distinction between what OUGHT be done and what IS done As you imply, benefits of adding formal distinct palliative care likely depend on primary team’s approach See @chadhoc.bsky.social’s pubmed.ncbi.nlm.nih.gov/39441096/

Apr 20, 2025 · 1 like · 1 share View post →
Annals of the ATS
@annalsats.bsky.social · Bluesky

The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical ICU Using criteria that indicate mortality risk may not yield care uptake in the ICU or affect transitions to DNR, time in the ICU @chadhoc.bsky.social @atscommunity.bsky.social

Feb 7, 2025 · 2 likes · 1 share View post →
Annals of the ATS
@AnnalsATS · X

The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical ICU Using criteria that indicate mortality risk may not yield care uptake in the ICU or affect transitions to DNR, time in the ICU @ChadHoc @davidnhager @iwashyna https://t.co/e5eq8lOlil https://t.co/e6SVSr4Gjr

Feb 7, 2025 · 1 like · 12,629 followers View post →
ATS BSHR Assembly
@ats-bshsr.bsky.social · Bluesky

The Real-World Effect of #Early #Screening for #Palliative #Care Criteria in a Medical #ICU: An #Instrumental #Variable Analysis https://buff.ly/4eAyFh1

Nov 20, 2024 · 6 likes · 1 share View post →
Jack Iwashyna
@iwashyna.bsky.social · Bluesky

Sometimes building a learning health system means learning when things you love aren’t doing the things you hoped The Real-World Effect of Early Screening for Palliative Care Criteria in a Medical ICU: An Instrumental Variable Analysis. Hochberg, et al pubmed.ncbi.nlm.nih.gov/39441096/

Oct 24, 2024 · 9 likes · 4 shares View post →