[How does one die from SARS-CoV-2 infection? Analysis of the death process in patients admitted to an acute hospital].

Autor:	Sepúlveda-Sánchez JM; Servicio de Hospitalización Médica, Agencia Sanitaria Costa del Sol, Marbella, España. Electronic address: juanamss@hcs.es., Rivas-Ruiz F; Unidad de Investigación, Red de Investigación en Servicios de Salud en Enfermedades Crónicas, REDISSEC, Agencia Sanitaria Costa del Sol, Marbella, España., Moya Suárez AB; Servicio de Hospitalización Médica, Agencia Sanitaria Costa del Sol, Marbella, España., Medina-López R; Servicio de Hospitalización Médica, Agencia Sanitaria Costa del Sol, Marbella, España., Sánchez-Megolla D; Dirección de Enfermería, Agencia Sanitaria Costa del Sol, Marbella, España.
Jazyk:	Spanish; Castilian
Zdroj:	Journal of healthcare quality research [J Healthc Qual Res] 2021 May-Jun; Vol. 36 (3), pp. 156-159. Date of Electronic Publication: 2021 Feb 03.
DOI:	10.1016/j.jhqr.2020.11.006
Abstrakt:	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. (Copyright © 2021 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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