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10.1016/j.jhqr.2020.11.006

http://scihub22266oqcxt.onion/10.1016/j.jhqr.2020.11.006
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33622637!7857076!33622637
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suck abstract from ncbi


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pmid33622637      J+Healthc+Qual+Res 2021 ; 36 (3): 156-159
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  • inverted question markComo se fallece por infeccion por SARS-CoV-2?: Analisis del proceso de muerte en pacientes ingresados en un hospital de agudos #MMPMID33622637
  • Sepulveda-Sanchez JM; Rivas-Ruiz F; Moya Suarez AB; Medina-Lopez R; Sanchez-Megolla D
  • J Healthc Qual Res 2021[May]; 36 (3): 156-159 PMID33622637show ga
  • INTRODUCTION: The SARS-CoV-2 pandemic has generated a mortality rate 10times higher than normal influenza according to the World Health Organization (WHO), yet they do not mention palliative care in their action guidelines on maintaining essential health services during this crisis. The aim of this study was to analyse the death process of patients who died from SARS-CoV-2 at the Hospital Costa del Sol. MATERIAL AND METHODS: Descriptive cross-sectional study of the period in which all patients who died of SARS-CoV-2 from February to April 2020 were analysed. Sociodemographic characteristics, sample characterization and a set of variables related to the death process were collected in the death event. RESULTS: A total of 16 deaths were recorded out of a total of 103 admissions positive for SARS-CoV-2. Limitation of therapeutic effort was decided in 68.8% of the patients, and admission to the intensive care unit was refused in 56.3%. Support devices had not been removed in any of the cases on the day of death, 43.8% had palliative sedation, and 18.8% were in induced coma. CONCLUSIONS: Quality standards were maintained in the death process in patients who died from SARS-CoV-2, although there were aspects that could be improved. Palliative care is an essential component of the response to SARS-CoV-2 that must be incorporated into all health care settings.
  • |*Death[MESH]
  • |*Palliative Care/statistics & numerical data[MESH]
  • |*SARS-CoV-2[MESH]
  • |Advance Care Planning[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/mortality/*physiopathology/therapy[MESH]
  • |Coma/chemically induced[MESH]
  • |Comorbidity[MESH]
  • |Critical Care/methods[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Parenteral Nutrition[MESH]
  • |Patient Isolation[MESH]
  • |Respiration, Artificial[MESH]
  • |Resuscitation[MESH]
  • |Socioeconomic Factors[MESH]
  • |Spain/epidemiology[MESH]
  • |Terminal Care/*methods/statistics & numerical data[MESH]
  • |Visitors to Patients[MESH]


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