Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry.

Autor: Schmidt-Hellerau K; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany. kirsten.schmidt-hellerau@uk-koeln.de., Raichle C; Department of Geriatric and Palliative Medicine, Tropenklinik Paul-Lechler Hospital, Tuebingen, Germany., Ruethrich MM; Department of Internal Medicine II, Haematology and Medical Oncology, University Hospital Jena, Jena, Germany., Vehreschild JJ; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.; Department II of Internal Medicine, Haematology/Oncology, Goethe University, Frankfurt, Frankfurt Am Main, Germany.; German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany., Lanznaster J; Department II of Internal Medicine, Hospital Passau, Passau, Germany., Nunes de Miranda SM; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany., Bausewein C; Department of Palliative Medicine, LMU University Hospital Munich, LMU Munich, Munich, Germany., Vehreschild MJGT; German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.; Department of Internal Medicine II, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt Am Main, Germany., Koll CEM; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany., Simon ST; Department of Palliative Medicine, Faculty of Medicine, University of Cologne, Cologne, Germany., Hellwig K; Department of Neurology, St. Josef-Hospital Bochum, Ruhr University Bochum, Bochum, Germany., Jensen BO; Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, University Hospital Duesseldorf, Heinrich Heine University, Düsseldorf, Germany., Jung N; Department I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Jazyk: angličtina
Zdroj: Infection [Infection] 2023 Aug; Vol. 51 (4), pp. 1119-1126. Date of Electronic Publication: 2023 Mar 23.
DOI: 10.1007/s15010-023-02020-z
Abstrakt: Purpose: Symptom control for patients who were severely ill or dying from COVID-19 was paramount while resources were strained and infection control measures were in place. We aimed to describe the characteristics of SARS-CoV-2 infected patients who received specialized palliative care (SPC) and the type of SPC provided in a larger cohort.
Methods: From the multi-centre cohort study Lean European Open Survey on SARS-CoV-2 infected patients (LEOSS), data of patients hospitalized with SARS-CoV-2 infection documented between July 2020 and October 2021 were analysed.
Results: 273/7292 patients (3.7%) received SPC. Those receiving SPC were older and suffered more often from comorbidities, but 59% presented with an estimated life expectancy > 1 year. Main symptoms were dyspnoea, delirium, and excessive tiredness. 224/273 patients (82%) died during the hospital stay compared to 789/7019 (11%) without SPC. Symptom control was provided most common (223/273; 95%), followed by family and psychological support (50% resp. 43%). Personal contact with friends or relatives before or during the dying phase was more often documented in patients receiving SPC compared to patients without SPC (52% vs. 30%).
Conclusion: In 3.7% of SARS-CoV-2 infected hospitalized patients, the burden of the acute infection triggered palliative care involvement. Besides complex symptom management, SPC professionals also focused on psychosocial and family issues and aimed to enable personal contacts of dying patients with their family. The data underpin the need for further involvement of SPC in SARS-CoV-2 infected patients but also in other severe chronic infectious diseases.
(© 2023. The Author(s).)
Databáze: MEDLINE
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