Brown University researchers said burdensome health care transitions for end-of-life patients are linked to higher rates of feeding-tube insertion, ICU stays, late hospice enrollment and stage IV decubitus ulcers. The study in the New England Journal of Medicine defined burdensome transitions as those occurring in the final three days of life, absence of nursing home continuity after hospitalization in the final 90 days of life and multiple hospitalizations in the final 90 days of life.

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