Study Examines Palliative Care in Cardiac Intensive Care Units

This article originally appeared here.
Share this content:
Study Examines Palliative Care in Cardiac Intensive Care Units
Study Examines Palliative Care in Cardiac Intensive Care Units

THURSDAY, March 5, 2015 (HealthDay News) -- Increased palliative care education and training among clinicians who are involved in cardiac critical care could benefit care, according to a study published in the March 1 issue of The American Journal of Cardiology.

Tara Naib, M.D., M.P.H., from the Icahn School of Medicine at Mount Sinai in New York City, and colleagues examined the role of palliative care in cardiac intensive care units (CICUs). Data were included for 1,368 patients admitted from Jan. 1 through Dec. 31, 2012.

The researchers identified 117 CICU patient deaths. End-of-life discussions were performed in 72.6 percent of those who died during that hospital admission; in more than half of these cases, the primary CICU team led these discussions and helped with decision-making. Compared with patients for whom no goals of care (GOC) discussions were held, the patients who had GOC discussions had a higher rate of redirected GOC toward comfort care or no escalation of care (38.8 versus 3.1 percent; P < 0.001) and withdrawal of life-sustaining treatments (23.5 versus 6.3 percent; P = 0.02). Between the groups, there was no difference noted in CICU length of stay or days to mortality from the time of CICU admission.

"Our study demonstrates the effect of palliative care and end-of-life decision-making in the CICU," the authors write. "As such, we advocate for increased palliative care education and training among clinicians who are involved in cardiac critical care."

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Incident Contrast Sensitivity Common in Middle-Aged Adults

Incident Contrast Sensitivity Common in Middle-Aged Adults

Factors linked to elevated risk include cadmium level in highest quintile, older age, more plaque sites

Tafamidis Treats Transthyretin Amyloid Cardiomyopathy

Tafamidis Treats Transthyretin Amyloid Cardiomyopathy

Reduces all-cause mortality, cardiovascular-related hospitalizations compared with placebo

Scribes Improve Physician Workflow, Patient Interaction

Scribes Improve Physician Workflow, Patient Interaction

Scribes lower EHR documentation burden for doctors and increase time spent interacting with patients

is free, fast, and customized just for you!




Already a member?

Sign In Now »