ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2017
[Palliative care consultation in the ICU : Descriptive analysis of internal medicine intensive care using a mixed model over 12 months].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- [Clinical ethic consultations in longterm care in Upper Austria-5 years report of the Landesverband Hospiz Upper Austria].Wiener medizinische Wochenschrift (1946) · 2022Article
- [Cooperation between intensive care and palliative care : The status quo in German Comprehensive Cancer Centers].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Article
- [Medical ethics : The pioneering role of critical care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Review
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Authors and funding
6 authors.
Funding
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Abstract
We retrospectively analyzed the data of 56 of 669 critically ill patients admitted to an internal medicine intensive care unit (ICU) with palliative care provided by a palliative care team over the period of 12 months. For delivering palliative care, we used a mixed model-consisting of both integrative and consultative elements. SAPS III severity score in patients with palliative care was 63 ± 15 compared to 50 ± 15 in all critically ill patients. Hospital mortality was 62.5 vs. 16%. After 3 months, 19.6% of patients with palliative care provided by the palliative care team were still alive. In 15 patients curative therapies were discontinued, while there was no further escalation of the therapy in 30 patients. In 47 patients, special help to the relatives was offered. In 13 cases, there was a disagreement between relatives and the ICU team; in 5 cases a family conference was implemented. Two patients wanted extensive intensive care therapy, despite unfavorable prognosis; one patient wished to die. One patient had an advanced directive.
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