Impact of palliative care at end-of-life Covid-19 patients - a small-scale pioneering experience

• Tipo: Artigo em Revista Científica Internacional
• Data: 2024

Autores

Rodrigues-Ribeiro, JL (Autor) Outra; Castro, L (Autor) FMUP; Pinto-Ribeiro, F (Autor) Outra; Nunes, R (Autor) Outra

Revista

A Revista está pendente de validação pelos Serviços Administrativos.

Título: BMC PALLIATIVE CARE

Vol. 23

ISSN: 1472-684X

Indexação

ISI Web of Knowledge - 0 Citações

Scopus

Outras Informações

ID Authenticus: P-00Z-ZVV

DOI: 10.1186/s12904-024-01368-9

Abstract (EN): BackgroundIn March 2020, the outbreak caused by the SARS-CoV-2 virus was declared a pandemic, resulting in numerous fatalities worldwide. To effectively combat the virus, it would be beneficial to involve professionals who specialize in symptom control for advanced illnesses, working closely with other specialties throughout the illness process. This approach can help manage a range of symptoms, from mild to severe and potentially life-threatening. No studies have been conducted in Portugal to analyse the intervention of Palliative Medicine at the end of life of Covid-19 patients and how it differs from other specialties. This knowledge could help determine the importance of including it in the care of people with advanced Covid-19.ObjectivesThe objective of this study is to examine potential differences in the care provided to patients with Covid-19 during their Last Hours and Days of Life (LHDOL) between those who received care from Palliative Medicine doctors and those who did not.MethodsThis is a retrospective cohort study spanning three months (Dec 2020 to Feb 2021), the duration of the Support Unit especially created to deal with Covid-19 patients. The database included clinical files from 181 patients admitted to the Support Unit, 27 of which died from Covid-19.ResultsStatistically significant differences were identified in the care provided. Specifically, fewer drugs were administered at the time of death, including drugs for dyspnoea, pain and agitation, suspension of futile devices and use of palliative sedation to control refractory symptoms.ConclusionsEnd-of-life care and symptomatic control differ when there's regular follow-up by Palliative Medicine, which may translate less symptomatic suffering and promote a dignified and humane end of life.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 8