Palliative care terminology and practice in intensive care units in the Czech Republic: results of PEOpLE-C19 study
Anesteziologie a Intenzivni Medicina
; 33(5):198-204, 2022.
Article
in Czech
| EMBASE | ID: covidwho-2244376
ABSTRACT
Study goal Palliative care is an essential part of a complex approach to patients in the intensive care unit (ICU). This study aimed to describe palliative care practice in ICU in the Czech Republic. Study type a cross-sectional, questionnaire study Material and methods:
The inclusion criteria for study participation were nurses or physicians taking care of patients in the ICU for patients with Coronavirus Disease 2019 (COVID-19). The participants could participate by filling out the electronic survey with 40 questions. The questionnaire was evaluated by descriptive statistical analysis.Results:
313 questionnaires were analyzed. Participants reported up to 15 different terms for end-of-life care, the most often being palliative care (75.1%, n=235). The supportive care, especially sedatives, was most frequently adjusted according to the patient's needs. On the other hand, as a standard approach, the parenteral (35.8%, n=112) and enteral (17.3%, n=54) nutrition were most often withdrawn. Regarding organ support, renal replacement therapy (69.7%, n=218) and vasopressors (60.4%, n=189) were often withdrawn. The most rarely withdrawn organ support was artificial ventilation (24.6%, n=77), endotracheal intubation (11.5%,n=36), and tracheostomy cannula (2.9%, n=9). The majority of respondents would appreciate further education in palliative care.Conclusion:
Palliative care is an essential theme not only in the COVID-19 pandemic. The palliative care terminology and practice used in the Czech Republic are heterogeneous. There is a space for further research and education in palliative care.
adult; article; artificial ventilation; cannula; controlled study; coronavirus disease 2019; Czech Republic; doctor nurse relation; drug withdrawal; education; endotracheal intubation; female; human; intensive care unit; major clinical study; male; nomenclature; nutrition; palliative therapy; pandemic; questionnaire; renal replacement therapy; surgery; terminal care; tracheostomy
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Language:
Czech
Journal:
Anesteziologie a Intenzivni Medicina
Year:
2022
Document Type:
Article
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