Please use this identifier to cite or link to this item: https://hdl.handle.net/10137/7825
Email LibraryRMU.DOH@nt.gov.au to ask for this document in a different format
Title: Providing palliative care closer to home: a retrospective analysis from a remote Australian hospital.
Authors: Watson, Benjamin J
Budd, Richard
Waran, Eswaran
Scott, Ian
Quilty, Simon
Citation: Internal medicine journal 2019-10-29
Abstract: Rural and remote patients have reduced access to palliative care, often resulting in interhospital transfers and death a long way from home and family. Katherine Hospital, a 50-bed hospital services a population with high Aboriginality who experience this issue. To characterise trends in mortality and transfers at a remote hospital in reference to increasing capacity to provide palliative care. Retrospective analysis of deaths in patients over 18 years of age, admitted between 2008-2018 at Katherine Hospital, Northern Territory. Outcome measures include number of deaths, aeromedical transfers to tertiary facility, palliative care episodes, demographics including Aboriginality, admission data and comorbidity. Statistical analysis included unpaired t-test, chi-square test and regression analysis. The number of deaths in Katherine Hospital increased from 23 (0.88% of inpatient admissions) in 2011 to 52 in 2018 (1.7%). During the same period, the proportion of all deaths classified as palliative increased from 51.4% to 66.0% (p=0.001), with fewer deaths occurring in the emergency department (17.2% to 1.4% for the last three years, R=0.75, p=0.008). The number of aeromedical transfers of patients from Katherine Hospital to tertiary centres decreased from 769 (10.4% of all admissions) in 2011 to 434 (3.4%) in 2018 (p=0.006). Increasing the capacity of a remote hospital to provide palliative care allowed more patients to die closer to home and decreased inappropriate aeromedical retrievals. An increased in-hospital mortality rate should not be misinterpreted as reflecting suboptimal care if palliative intent, patients' wishes and non-clinical risk factors have not been ascertained. This article is protected by copyright. All rights reserved.
Click to open PubMed article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/31659827
Journal title: Internal medicine journal
Publication Date: 2019-10-29
Type: Journal Article
URI: https://hdl.handle.net/10137/7825
DOI: 10.1111/imj.14666
metadata.dc.identifier.orcid: https://orcid.org/0000-0001-8526-1848
https://orcid.org/0000-0002-7596-0837
Appears in Collections:(a) NT Health Research Collection

Files in This Item:
There are no files associated with this item.


Items in ePublications are protected by copyright, with all rights reserved, unless otherwise indicated.