Palliative care in the cardiac intensive care unit

The American Journal of Cardiology
Tara NaibUmesh Gidwani

Abstract

Patients admitted to today's cardiac intensive care units (CICUs) have increasingly complex medical conditions; consequently, palliative care is becoming an integral component of their care. Although there is a robust body of literature emanating from other intensive care unit settings, there has been less discussion about the role of palliative care in the CICU. This study examined all admissions to the Mount Sinai Hospital CICU from January 1 through December 31, 2012. Of the 1,368 patients admitted, there were 117 CICU patient deaths. End-of-life discussions were carried out in 85 patients (72.6%) who died during that hospital admission; the primary CICU team led these discussions and helped with decision making in >1/2 of them. For the 85 patients who had goals of care (GOC) discussions, there was a higher rate of redirected GOC toward comfort care or no escalation of care (38.8% vs 3.1%, p <0.001) and withdrawal of life-sustaining treatments, such as mechanical ventilation and vasopressors (23.5% vs 6.3%, p = 0.02) compared with patients for whom no GOC discussions were held. Among patients who had GOC discussions, there was no statistically significant difference for patients who had their mechanical circulatory support, ...Continue Reading

References

Sep 1, 2005·Journal of Palliative Medicine·J Randall Curtis, Gordon D Rubenfeld
Dec 25, 2008·The American Journal of Hospice & Palliative Care·Lauris C KaldjianKatrina T Cannon
Jan 20, 2010·Critical Care Medicine·Steven M Hollenberg
Jun 22, 2010·Critical Care Medicine·Judith E NelsonUNKNOWN Improve Palliative Care in the Intensive Care Unit Project
Aug 16, 2012·Circulation·David A MorrowUNKNOWN American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Clinical C
Aug 14, 2013·Critical Care Medicine·Judith E NelsonUNKNOWN Improving Palliative Care in the ICU (IPAL-ICU) Project Advisory Board
Nov 6, 2013·Cardiology Clinics·Keith M Swetz, J Keith Mansel
Nov 28, 2013·Intensive Care Medicine·Kathleen PuntilloUNKNOWN Advisory Board of the Improving Palliative Care in the ICU (IPAL-ICU) Project

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Citations

Jul 28, 2016·Palliative & Supportive Care·Belmira D C P C C MartinsAntonio J M Cataneo
Jun 20, 2018·Current Opinion in Critical Care·Thomas BochatonNadia Aissaoui
Jul 24, 2018·Clinical Journal of Oncology Nursing·Colleen FlahertyJennifer Murphy
Dec 10, 2019·Circulation·Abdulla A DamlujiUNKNOWN American Heart Association Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing
Mar 14, 2020·BMC Anesthesiology·Gianluca VillaStefano Romagnoli
Jul 17, 2020·Stem Cell Reviews and Reports·Amir K VarkouhiClaudia C Dos Santos
Dec 29, 2020·IJC Heart & Vasculature·Basheer KarkabiAvinoam Shiran
Jun 16, 2021·Circulation·Abdulla A DamlujiUNKNOWN American Heart Association Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Cou
Jun 26, 2021·Heart·David Jonathan CookAlastair Proudfoot

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