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Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry
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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034879/ https://www.ncbi.nlm.nih.gov/pubmed/36952127 http://dx.doi.org/10.1007/s15010-023-02020-z |
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author | Schmidt-Hellerau, Kirsten Raichle, Claudia Ruethrich, Maria M. Vehreschild, Jörg J. Lanznaster, Julia Nunes de Miranda, Susana M. Bausewein, Claudia Vehreschild, Maria J. G. T. Koll, Carolin E. M. Simon, Steffen T. Hellwig, Kerstin Jensen, Björn-Erik O. Jung, Norma |
author_facet | Schmidt-Hellerau, Kirsten Raichle, Claudia Ruethrich, Maria M. Vehreschild, Jörg J. Lanznaster, Julia Nunes de Miranda, Susana M. Bausewein, Claudia Vehreschild, Maria J. G. T. Koll, Carolin E. M. Simon, Steffen T. Hellwig, Kerstin Jensen, Björn-Erik O. Jung, Norma |
author_sort | Schmidt-Hellerau, Kirsten |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10034879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-100348792023-03-23 Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry Schmidt-Hellerau, Kirsten Raichle, Claudia Ruethrich, Maria M. Vehreschild, Jörg J. Lanznaster, Julia Nunes de Miranda, Susana M. Bausewein, Claudia Vehreschild, Maria J. G. T. Koll, Carolin E. M. Simon, Steffen T. Hellwig, Kerstin Jensen, Björn-Erik O. Jung, Norma Infection Research 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. Springer Berlin Heidelberg 2023-03-23 2023 /pmc/articles/PMC10034879/ /pubmed/36952127 http://dx.doi.org/10.1007/s15010-023-02020-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Schmidt-Hellerau, Kirsten Raichle, Claudia Ruethrich, Maria M. Vehreschild, Jörg J. Lanznaster, Julia Nunes de Miranda, Susana M. Bausewein, Claudia Vehreschild, Maria J. G. T. Koll, Carolin E. M. Simon, Steffen T. Hellwig, Kerstin Jensen, Björn-Erik O. Jung, Norma Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry |
title | Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry |
title_full | Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry |
title_fullStr | Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry |
title_full_unstemmed | Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry |
title_short | Specialized palliative care for hospitalized patients with SARS-CoV-2 infection: an analysis of the LEOSS registry |
title_sort | specialized palliative care for hospitalized patients with sars-cov-2 infection: an analysis of the leoss registry |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034879/ https://www.ncbi.nlm.nih.gov/pubmed/36952127 http://dx.doi.org/10.1007/s15010-023-02020-z |
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