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10.1016/j.jpainsymman.2020.04.031 http://scihub22266oqcxt.onion/10.1016/j.jpainsymman.2020.04.031 32387139!7200379!32387139     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Pain+Symptom+Manage 2020 ; 60 (2): e75-e78 Nephropedia Template TP {{tp|p=32387139|t=2020. A Dual-Center Observational Review of Hospital-Based Palliative Care in Patients Dying With COVID-19 |pdf=|usr=}}{{32387139}} gab.com Text A Dual-Center Observational Review of Hospital-Based Palliative Care in Patients Dying With COVID-19 JO: J Pain Symptom Manage http://www.kidney.de/pget.php?&tw=1&pmid=32387139 #FOAvip The current coronavirus disease 2019 (COVID-19) pandemic has put significant strain on all aspects of health care delivery, including palliative care services. Given the high mortality from this disease, particularly in the more vulnerable members of society, it is important to examine how best to deliver a high standard of end-of-life care during this crisis. This case series collected data from two acute hospitals examining the management of patients diagnosed with COVID-19 who subsequently died (n = 36) and compared this with national and local end-of-life audit data for all other deaths. Our results demonstrated a shorter dying phase (38.25 hours vs. 74 hours) and higher rates of syringe driver use (72% vs. 33% in local audits), although with similar average mediation doses. Of note was the significant heterogeneity in the phenotype of deterioration in the dying phase, two distinct patterns emerged, with one group demonstrating severe illness with a short interval between symptom onset and death and another group presenting with a more protracted deterioration. This brief report suggests a spectrum of mode of dying. Overall, the cohort reflects previously described experiences, with increased frailty (median Clinical Frailty Scale score of 5) and extensive comorbidity burden. This brief report provides clinicians with a contemporaneous overview of our experience, knowledge, and pattern recognition when caring for people with COVID-19 and highlights the value of proactive identification of patients and risk of deterioration and palliation. Twit Text FOAVip A Dual-Center Observational Review of Hospital-Based Palliative Care in Patients Dying With COVID-19 ????J Pain Symptom Manage http://www.kidney.de/pget.php?&tw=1&pmid=32387139 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32387139 #FOAvip English Wikipedia <ref>{{Cite pmid|32387139}}</ref> A Dual-Center Observational Review of Hospital-Based Palliative Care in Patients Dying With COVID-19 #MMPMID32387139 Turner J; Eliot Hodgson L; Leckie T; Eade L; Ford-Dunn S J Pain Symptom Manage 2020[Aug]; 60 (2): e75-e78 PMID32387139show ga The current coronavirus disease 2019 (COVID-19) pandemic has put significant strain on all aspects of health care delivery, including palliative care services. Given the high mortality from this disease, particularly in the more vulnerable members of society, it is important to examine how best to deliver a high standard of end-of-life care during this crisis. This case series collected data from two acute hospitals examining the management of patients diagnosed with COVID-19 who subsequently died (n = 36) and compared this with national and local end-of-life audit data for all other deaths. Our results demonstrated a shorter dying phase (38.25 hours vs. 74 hours) and higher rates of syringe driver use (72% vs. 33% in local audits), although with similar average mediation doses. Of note was the significant heterogeneity in the phenotype of deterioration in the dying phase, two distinct patterns emerged, with one group demonstrating severe illness with a short interval between symptom onset and death and another group presenting with a more protracted deterioration. This brief report suggests a spectrum of mode of dying. Overall, the cohort reflects previously described experiences, with increased frailty (median Clinical Frailty Scale score of 5) and extensive comorbidity burden. This brief report provides clinicians with a contemporaneous overview of our experience, knowledge, and pattern recognition when caring for people with COVID-19 and highlights the value of proactive identification of patients and risk of deterioration and palliation. |*Hospitalization[MESH] |*Palliative Care[MESH] |*Terminal Care[MESH] |Aged[MESH] |Aged, 80 and over[MESH] |COVID-19[MESH] |Comorbidity[MESH] |Coronavirus Infections/*mortality/*therapy[MESH] |Disease Management[MESH] |Disease Progression[MESH] |Frailty[MESH] |Humans[MESH] |Middle Aged[MESH] |Pandemics[MESH] |Pneumonia, Viral/*mortality/*therapy[MESH] |Retrospective Studies[MESH] |Syringes[MESH]A Dual-Center Observational Review of Hospital-Based Palliative Care i(epmc).pdf DeepDyve Pubget Overpricing