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2020 ; 60
(2
): e18-e21
Nephropedia Template TP
gab.com Text
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English Wikipedia
Palliative Care Utilization Among Patients With COVID-19 in an Underserved
Population: A Single-Center Retrospective Study
#MMPMID32454186
Haydar A
; Lo KB
; Goyal A
; Gul F
; Peterson E
; Bhargav R
; DeJoy R 3rd
; Salacup G
; Pelayo J
; Albano J
; Azmaiparashvili Z
; Ansari H
; Aponte GP
J Pain Symptom Manage
2020[Aug]; 60
(2
): e18-e21
PMID32454186
show ga
BACKGROUND: As health-care institutions mobilize resources to address the
coronavirus disease 2019 (COVID-19) pandemic, palliative care may potentially be
underutilized. It is important to assess the use of palliative care in response
to the COVID-19 pandemic. METHODS: This is a retrospective single-center study of
patients with COVID-19 diagnosed via reverse transcriptase-polymerase chain
reaction assay admitted between March 1, 2020, and April 24, 2020. An analysis of
the utilization of palliative care in accordance with patient comorbidities and
other characteristics was performed while considering clinical outcomes.
Chi-square test was used to determine associations between categorical variables
while t-tests were used to compare continuous variables. RESULTS: The overall
mortality rate was 21.5% (n = 52), and in 48% (n = 25) of these patients,
palliative care was not involved. Fifty-nine percent (n = 24) of those who had
palliative consults eventually elected for comfort measures and transitioned to
hospice care. Among those classified as having severe COVID-19, only 40% (n = 31)
had palliative care involvement. Of these patients with severe COVID-19, 68%
(n = 52) died. Patients who got palliative care consults were of older age, had
higher rates of intubation, a need for vasopressors, and were dead. CONCLUSION:
There was a low utilization rate of palliative care in patients with COVID-19.
Conscious utilization of palliative care is needed at the time of COVID-19.
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