| Autor: |
Mitchell Wice, James L. Rudolph, Lan Jiang, Hal M. Edmonson, John S. Page, Wen Chih Wu, Julio Defillo-Draiby |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Palliative Medicine Reports, Vol 4, Iss 1, Pp 344-349 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2689-2820 |
| DOI: |
10.1089/PMR.2023.0067 |
| Popis: |
Background: Specialist-level palliative care in the final days does not allow time to alleviate symptoms and suffering. This analysis examined the change in the time from initial specialty-level palliative care to death among Veterans with heart failure. Methods: This retrospective cohort study examined Veterans with a diagnosis of heart failure (HF) who died between 2011 and 2021. We examined the decedents from each year as a separate cohort. The primary outcome was time from specialty-level palliative care (SPC) encounter to death in the year death occurred. Results: Of the cohort (n?=?232,079), 56.5% did not receive SPC. Specialist-level palliative care >90 days before death more than doubled from 10.1% (2011) to 26.2% (2021), and Specialist-level palliative care in the last day of life was cut from 2.5% to 0.9%. Conclusion: For Veterans with HF, specialist-level palliative care moved earlier in the disease course and has a substantial growth opportunity. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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