PMID: 7543290Jan 1, 1995Paper

Patterns of care in advanced HIV disease in a tertiary treatment centre

AIDS Care
I L GoldstoneA McLeod

Abstract

A retrospective chart review of all in-patient deaths in 1992 was undertaken to examine patterns of care in advanced HIV disease at St Paul's Hospital, Vancouver, Canada. St Paul's Hospital cares for approximately 75% of the Province of British Columbia's AIDS caseload. This represents about 18% of Canada's caseload. Data were collected on demographic characteristics, the utilization of home care and community services, income and social support, symptom presentation at terminal admission and the utilization of acute hospital care and hospital based palliative care. A total of 126 deaths were reviewed. All but two subjects were homosexual/bisexual men. The median age at death was 39 years (range 24-67). Four patterns of care at death were identified: (1) aggressive therapy with resuscitation 24 (19%), (resuscitation was initiated in 58%); (2) aggressive therapy with a no resuscitation order 49 (39%), in which the palliative period was a median of three days; (3) death on the palliative care unit 33 (29%), with a median survival once palliative of 20 days; and (4) death on the palliative care unit following respite admissions 16 (13%), with a median survival once palliative of 64 days. Despite a well known and respected Palliati...Continue Reading

Citations

Jun 1, 2005·Palliative Medicine·Richard HardingKatherine Marconi
Nov 1, 1995·The American Journal of Hospice & Palliative Care·C Kemp, L Stepp
Sep 6, 2001·Journal of the Royal Society of Medicine·P Easterbrook, J Meadway

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