کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2959274 1178321 2013 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Palliative Care Consultations for Heart Failure Patients: How Many, When, and Why?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Palliative Care Consultations for Heart Failure Patients: How Many, When, and Why?
چکیده انگلیسی

ObjectiveIn preparation for development of a palliative care intervention for patients with heart failure (HF) and their caregivers, we aimed to characterize the HF population receiving palliative care consultations (PCCs).Methods and ResultsReviewing charts from January 2006 to April 2011, we analyzed HF patient data including demographic and clinical characteristics, Seattle Heart Failure scores, and PCCs. Using Atlas qualitative software, we conducted a content analysis of PCC notes to characterize palliative care assessment and treatment recommendations. There were 132 HF patients with PCCs, of which 37% were New York Heart Association functional class III and 50% functional class IV. Retrospectively computed Seattle Heart Failure scores predicted 1-year mortality of 29% [interquartile range (IQR) 19–45] and median life expectancy of 2.8 years [IQR 1.6–4.2] years. Of the 132 HF patients, 115 (87%) had died by the time of the audit. In that cohort the actual median time from PCC to death was 21 [IQR 3–125] days. Reasons documented for PCCs included goals of care (80%), decision making (24%), hospice referral/discussion (24%), and symptom management (8%).ConclusionsDespite recommendations, PCCs are not being initiated until the last month of life. Earlier referral for PCC may allow for integration of a broader array of palliative care services.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiac Failure - Volume 19, Issue 3, March 2013, Pages 193–201
نویسندگان
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