Bibliographic Details
| Title: |
Multicenter exploration of specialist palliative care in patients with left ventricular assist devices – a retrospective study |
| Authors: |
Theresa Tenge, Shaylin Shahinzad, Stefan Meier, Manuela Schallenburger, Yann-Nicolas Batzler, Jacqueline Schwartz, Anja Coym, Johannes Rosenbruch, Mitra Tewes, Steffen T. Simon, Carmen Roch, Ute Hiby, Christian Jung, Udo Boeken, Jan Gaertner, Martin Neukirchen |
| Source: |
BMC Palliative Care, Vol 23, Iss 1, Pp 1-9 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Special situations and conditions |
| Subject Terms: |
Palliative medicine, Heart failure, Heart-assist devices, Quality of life, Retrospective studies, Multicenter study, Special situations and conditions, RC952-1245 |
| More Details: |
Abstract Background The number of advanced heart failure patients with left ventricular assist devices (LVAD) is increasing. Despite guideline-recommendations, little is known about specialist palliative care involvement in LVAD-patients, especially in Europe. This study aims to investigate timing and setting of specialist palliative care in LVAD-patients. Methods We conducted a retrospective multicenter study in 2022. Specialist palliative care services in German LVAD-centers were identified and invited to participate. Forty adult LVAD-patients (mean age 65 years (SD 7.9), 90% male) from seven centers that received a specialist palliative care consultation during hospitalization were included. Results In 37 (67.3%) of the 55 LVAD-centers, specialist palliative care was available. The median duration between LVAD-implantation and first specialist palliative care contact was 17 months (IQR 6.3–50.3 months). Median duration between consultation and death was seven days (IQR 3–28 days). 65% of consults took place in an intensive/intermediate care unit with half of the patients having a Do-Not-Resuscitate order. Care planning significantly increased during involvement (advance directives before: n = 15, after: n = 19, p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1472-684X |
| Relation: |
https://doaj.org/toc/1472-684X |
| DOI: |
10.1186/s12904-024-01563-8 |
| Access URL: |
https://doaj.org/article/4e523ac4f7fb41428bfb7ebd09dcbbdd |
| Accession Number: |
edsdoj.4e523ac4f7fb41428bfb7ebd09dcbbdd |
| Database: |
Directory of Open Access Journals |
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