Association of Palliative Care Consultation with Outcomes after Out-of-Hospital Cardiac Arrest.

Publication/Presentation Date

6-16-2026

Abstract

BackgroundOut-of-hospital cardiac arrest (OHCA) is associated with high morbidity and mortality, often requiring complex decision-making in the intensive care unit (ICU). Palliative care may facilitate goal-aligned care but remains underutilized in this population.ObjectiveTo evaluate the impact of palliative care consultation on end-of-life decision-making and clinical outcomes in ICU patients following OHCA.MethodsWe conducted a mixed retrospective-prospective cohort study of 61 retrospective and 40 prospective adult patients admitted to the ICU after OHCA at a tertiary academic center. Patients were grouped by palliative care consultation. Primary outcomes were in-hospital mortality and ICU and hospital length of stay. Secondary outcomes included the proportion of patients with code status change, the timing of code status changes and withdrawal of life-sustaining treatment from ICU admission in both groups, and withdrawal of life-sustaining treatment. Illness severity was assessed using the Sequential Organ Failure Assessment (SOFA) score at ICU admission and at 72 hours.ResultsAmong 101 patients admitted after OHCA, 34 (33.7%) received a palliative care consultation. In-hospital mortality was higher among patients who received palliative care consultation than among those who did not (79.4% vs 41.8%;

First Page

10499091261458693

Last Page

10499091261458693

ISSN

1938-2715

Disciplines

Medicine and Health Sciences

PubMedID

42300366

Department(s)

Department of Medicine

Document Type

Article

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