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Text
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Citation List Month
July 2017 List
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Title
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Patterns Of Palliative Care Service Consultation In A Sample Of Critically Ill Icu Patients At High Risk Of Dying
Publisher
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PLOS Neglected Tropical Diseases
Date
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2016
Subject
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Critical Care; End-of-life Care; Palliative Care; Patient-centered Outcomes; Quality Of Health Care
Creator
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Seaman JB; Barnato AE; Sereika SM; Happ MB; Erlen JA
Description
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OBJECTIVE: Describe patterns of palliative care service consultation among a sample of ICU patients at high risk of dying. BACKGROUND: Patients receiving mechanical ventilation (MV) face threats to comfort, social connectedness and dignity due to pain, heavy sedation and physical restraint. Palliative care consultation services may mitigate poor outcomes. METHODS: From a dataset of 1440 ICU patients with ≥2 days of MV and ≥12 h of sustained wakefulness, we identified those at high risk of dying and/or who died and assessed patterns of sub-specialty palliative care consultation. RESULTS: About half (773/1440 [54%]) were at high risk of dying or died, 73 (9.4%) of whom received palliative care consultation. On average, referral occurred after 62% of the ICU stay had elapsed. Primary reason for consult was clarification of goals of care (52/73 [72.2%]). CONCLUSIONS: Among MV ICU patients at high risk of dying, palliative care service consultation occurs late and infrequently, suggesting a role for earlier palliative care.
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Barnato AE
Critical Care
End-of-life Care
Erlen JA
Happ MB
July 2017 List
Palliative Care
Patient-centered Outcomes
PLOS Neglected Tropical Diseases
Quality Of Health Care
Seaman JB
Sereika SM