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Evaluation of a New Triage Protocol for Palliative Care for Patients with COVID-19 in Brazil.
Correa, Tulio Loyola; Simão, Áurea Maria Salomão; Sobreira, Joyce Veceli Barros; Anbar, Fernanda Baeninger; Yarshell, Flávia; Brandão, Ana Beatriz; Estuque, Monica Queirós; Rocha, Juraci Aparecida; de Carvalho, Ricardo Tavares.
  • Correa TL; Faculty of Medicine, Universidade Federal de Pelotas, Pelotas, Brazil.
  • Simão ÁMS; Department of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.
  • Sobreira JVB; Department of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.
  • Anbar FB; Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, Brazil.
  • Yarshell F; Department of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.
  • Brandão AB; Faculty of Nursing, Universidade Federal do Maranhão, Sao Luis, Brazil.
  • Estuque MQ; Department of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.
  • Rocha JA; Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, Brazil.
  • de Carvalho RT; Department of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.
J Palliat Med ; 2022 Oct 31.
Article in English | MEDLINE | ID: covidwho-2232729
ABSTRACT

Objectives:

To evaluate the implementation of a triage protocol for palliative care (PC) during the COVID-19 pandemic (PALI-COVID) at a referral center in Brazil.

Methods:

A retrospective observational study was conducted. Based on the triage protocol, patients were classified into a red group, a yellow group, and a green group (GG). Patients should receive PC as recommended for each group.

Results:

A total of 1517 patients were included in the analysis. About 11% (n = 162) of patients received PC. About 35% (n = 529) of all patients died. There was a significant difference in the mortality rate between the groups; the GG had the highest mortality rate. Most patients who died (77.1%) did not receive PC.

Conclusion:

PALI-COVID was effective in identifying patients who had a higher risk of death and needed end-of-life support. Despite the protocol, few patients received PC.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Country/Region as subject: South America / Brazil Language: English Journal subject: Health Services Year: 2022 Document Type: Article Affiliation country: Jpm.2022.0324

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Country/Region as subject: South America / Brazil Language: English Journal subject: Health Services Year: 2022 Document Type: Article Affiliation country: Jpm.2022.0324