The right time for palliative care in heart failure: a review of critical moments for palliative care intervention
| Autor: | Haider J. Warraich, Samuel D. Slavin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Heart Failure
medicine.medical_specialty Palliative care Referral business.industry Palliative Care Psychological intervention General Medicine Disease Guideline 030204 cardiovascular system & hematology Intensive care unit law.invention Clinical trial 03 medical and health sciences 0302 clinical medicine law Practice Guidelines as Topic medicine Ventricular Assist Device Placement Humans Intensive care medicine business Referral and Consultation |
| Zdroj: | Revista espanola de cardiologia (English ed.). 73(1) |
| ISSN: | 1885-5857 |
| Popis: | Heart failure (HF) is a progressive condition with high mortality and heavy symptom burden. Despite guideline recommendations, cardiologists refer to palliative care at rates much lower than other specialties and very late in the course of the disease, often in the final 3 days of life. One reason for delayed referral is that prognostication is challenging in patients with HF, making it unclear when and how the limited resources of specialist palliative care will be most beneficial. It might be more prudent to consider palliative care referrals at critical moments in the trajectory of patients with HF. These include: a) the development of poor prognostic signs in the outpatient setting; b) hospitalization or intensive care unit admission, and c) at the time of evaluation for certain procedures, such as left ventricular assist device placement and ablation for refractory ventricular arrhythmias, among others. In this review, we also summarize the results of clinical trials evaluating palliative interventions in these settings. |
| Databáze: | OpenAIRE |
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