Specialist Palliative Care Consultations in COVID-19 Patients in the ICU—A Retrospective Analysis of Patient Characteristics and Symptoms at a German University Hospital
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Ethical Approval
2.2. COVID-19 Setting and Specialist Palliative Care
2.3. Patient Selection and Data Collection
2.4. Data Analysis
3. Results
3.1. Patient Characteristics
3.2. Specialist Palliative Care Involvement
3.3. Symptom Control
3.3.1. Symptom Burden
3.3.2. Symptom Intensity
4. Discussion
Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristic | Mean (SD) | n (%) |
---|---|---|
Age, years | 69.51 (15.84) | |
Sex, male/female | 32 (62.7)/19 (37.3) | |
Place of living | ||
Home | 42 (82.4) | |
Nursing home | 7 (13.7) | |
Missing data | 2 (3.9) | |
Relatives available, yes/no | 48 (94.1)/3 (5.9) | |
Comorbidities | ||
Arterial hypertension | 36 (70.6) | |
Coronary artery disease | 20 (39.2) | |
Obesity | 16 (31.4) | |
Oncological disease | 13 (25.5) | |
Diabetes mellitus | 10 (19.6) | |
Dementia | 6 (11.76) | |
Chronic lung disease | 5 (9.8) | |
Care planning | ||
Advance directive | 13 (25.5) | |
Health care proxy | 23 (45.1) |
Characteristic | Median (IQR) | n (%) |
---|---|---|
ECOG * | ||
2 | 1 (2) | |
3 | 7 (13.7) | |
4 | 43 (84.3) | |
COVID-19 treatment | ||
Noninvasive ventilation | 36 (70.6) | |
Mechanical ventilation | 23 (45.1) | |
ECMO * | 23 (45.1) | |
Intravenous catecholamines | 23 (45.1) | |
Dialysis | 17 (33.3) | |
Opioids | 29 (56.9) | |
Durations in days (d) or minutes (min) | ||
COVID-19 confirmation until sPC contact (d) | 14 (11) | |
sPC treatment in total (d) | 13.5 (10.5) | |
Contact with physicians (min) | 140 (82.5) | |
Contact with nurses (min) | 120 (82.5) | |
Contact with psychologists (min) | 50 (82.5) | |
Contact with physiotherapists (min) | 110 (257.5) | |
Contact with relatives to psychologists (min) | 30 (50) | |
Outcomes | ||
Deceased | 32 (62.8) | |
Palliative care unit | 2 (3.9) | |
Discharge | 15 (29.4) | |
Missing data | 2 (3.9) |
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Tenge, T.; Brimah, S.; Schlieper, D.; Roesel, A.; Schwartz, J.; Schallenburger, M.; Meier, S.; Brandenburger, T.; Kindgen-Milles, D.; Kienbaum, P.; et al. Specialist Palliative Care Consultations in COVID-19 Patients in the ICU—A Retrospective Analysis of Patient Characteristics and Symptoms at a German University Hospital. J. Clin. Med. 2022, 11, 5925. https://doi.org/10.3390/jcm11195925
Tenge T, Brimah S, Schlieper D, Roesel A, Schwartz J, Schallenburger M, Meier S, Brandenburger T, Kindgen-Milles D, Kienbaum P, et al. Specialist Palliative Care Consultations in COVID-19 Patients in the ICU—A Retrospective Analysis of Patient Characteristics and Symptoms at a German University Hospital. Journal of Clinical Medicine. 2022; 11(19):5925. https://doi.org/10.3390/jcm11195925
Chicago/Turabian StyleTenge, Theresa, Sebastian Brimah, Daniel Schlieper, Antje Roesel, Jacqueline Schwartz, Manuela Schallenburger, Stefan Meier, Timo Brandenburger, Detlef Kindgen-Milles, Peter Kienbaum, and et al. 2022. "Specialist Palliative Care Consultations in COVID-19 Patients in the ICU—A Retrospective Analysis of Patient Characteristics and Symptoms at a German University Hospital" Journal of Clinical Medicine 11, no. 19: 5925. https://doi.org/10.3390/jcm11195925