Virtual Interinstitutional Palliative Care Consultation during the COVID-19 Pandemic in New York City

被引：5

作者：

Asprec, Lawrence ^{[1
]}

Blinderman, Craig D. ^{[1
]}

Berlin, Ana ^{[1
,2
]}

Callahan, Mary E. ^{[1
]}

Widera, Eric ^{[3
,4
]}

Periyakoil, Vyjeyanthi S. ^{[5
,6
]}

Smith, Alexander K. ^{[3
,4
]}

Nakagawa, Shunichi ^{[1
]}

机构：

[1] Columbia Univ, Dept Med, Irving Med Ctr, Adult Palliat Care Serv, 601 West 168th St,Suite 37, New York, NY 10032 USA

[2] Columbia Univ, Irving Med Ctr, Dept Surg, Div Gen Surg, New York, NY USA

[3] Univ Calif San Francisco, Dept Med, Div Geriatr, San Francisco, CA 94143 USA

[4] San Francisco VA Med Ctr, Geriatr Palliat & Extended Care Serv, San Francisco, CA USA

[5] Stanford Univ, Dept Med, Palo Alto, CA 94304 USA

[6] Vet Affairs Palo Alto Hlth Care Syst, Extended Care & Palliat Med Serv, Palo Alto, CA USA

来源：

JOURNAL OF PALLIATIVE MEDICINE | 2021年 / 24卷 / 09期

关键词：

COVID-19; digital health; palliative care; telehealth;

D O I：

10.1089/jpm.2021.0208

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Context: Amid the COVID-19 surge in New York City, the need for palliative care was highlighted. Virtual consultation was introduced to expand specialist-level care to meet demand. Objectives: To examine the outcomes of COVID-19 patients who received virtual palliative care consultation from outside institutions. Design: This is a retrospective case series. Setting/Subjects: Subjects were 34 patients who received virtual palliative care consultation between April 13, 2020, and June 14, 2020. Measurements: Follow-up frequency and duration, code status change, withdrawal of life-sustaining treatment (LST), and multidisciplinary involvement. Results: Twenty-eight patients (82.3%) were in the intensive care unit and 29 patients (85.3%) were on at least two LSTs. Fifteen patients (44.1%) died in the hospital, 9 patients (26.4%) were discharged alive, and 10 patients (29.4%) were signed off. The median frequency of visits was 4.5 (IQR 6) over 11 days follow-up (IQR 17). Code status change was more frequent in deceased patients. LSTs were withdrawn in eight patients (23.5%). Conclusions: Virtual palliative care consultation was feasible during the height of the COVID-19 pandemic.

引用

页码：1387 / 1390

页数：4

共 16 条

[1]

Ankuda CK., 2020, NEJH Catalyst, DOI [10.1056/CAT.20.0204, DOI 10.1056/CAT.20.0204]

[2] Patterns and Trends in Advance Care Planning Among Older Adults Who Received Intensive Care at the End of Life [J].