Prevalence of palliative care patients in emergency departments

Wiener klinische Wochenschrift
Markus KöstenbergerRudolf Likar

Abstract

Emergency departments (ED) serve as a contact point for critically ill patients. According to experience, a fraction of patients visiting ED present with palliative symptoms and require palliative care; however, the prevalence of these patients has not been determined in Austria so far. In the ED of a tertiary care medical centre in Carinthia all adult patients presenting between 8 January 2018 and 17 January 2018 were classified on arrival with the Manchester triage system (MTS) and were afterwards assessed with a validated 2‑tier screening tool for palliative care. Patient records were screened in April 2018 to find out whether they received palliative care. In total 1277 patients visited the ED during the investigation period. Of these patients 1096 were screened and 145 of these patients (13.2%) showed palliative symptoms and needed a goal-oriented therapy. Of these 145 patients 10.9% were assessed by MTS as emergency, 2.7% as very urgent, 34.7% as urgent, 51% as normal, and 0.7% as not urgent. Only 8 (5.5%) of the patients with palliative medical symptoms actually received palliative care consultation. More than 1 in 10 patients attending an ED suffered from palliative symptoms. Hence it is to be expected that healthcare p...Continue Reading

References

Apr 30, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S M SchneiderJ S Stapczynski
Aug 10, 2001·Journal of Pain and Symptom Management·J PereiraE Bruera
Jun 26, 2003·Palliative Medicine·Jean PotterColumba Quigley
Dec 22, 2005·Proceedings·C M Puchalski
Dec 13, 2006·Journal of Pain and Symptom Management·Scott A StrasselsSean D Sullivan
Jul 5, 2007·Journal of the American Geriatrics Society·Richard BrumleyJorge Gonzalez
Mar 17, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Lisa BarberaDeborah Dudgeon
Feb 1, 2011·Journal of Pain and Symptom Management·Karen E SteinhauserJames A Tulsky
Dec 6, 2011·Journal of Palliative Medicine·Susan C StoneKarl A Lorenz
Aug 6, 2013·Emergency Medicine Australasia : EMA·Victoria BradleyGeoff Hughes
Aug 27, 2013·Journal of Palliative Medicine·Frances M WuAbraham A Brody
Mar 13, 2014·International Journal of Nursing Studies·Nicola ParentiDawn Dowding
Apr 10, 2014·Emergency Medicine Australasia : EMA·Freya M ShearerJeremy R Rogers
Aug 19, 2014·Journal of Pain and Symptom Management·Marvin Omar Delgado-GuayEduardo Bruera
Apr 29, 2015·Clinics in Geriatric Medicine·Derrick S Lowery, Tammie E Quest
Jul 15, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Naomi GeorgeJanette Baird
Mar 29, 2016·Journal of Global Health·Stephen C Morris
Dec 21, 2016·Emergency Medicine Journal : EMJ·Ingo GräffDaniel Grigutsch
Jul 29, 2017·Emergency Medicine Journal : EMJ·Akira KuriyamaTakeo Nakayama

❮ Previous
Next ❯

Citations

Mar 20, 2021·Medizinische Klinik, Intensivmedizin und Notfallmedizin·Friedemann Nauck, Birgit Jaspers
Oct 30, 2021·Der Schmerz·Friedemann Nauck, Birgit Jaspers

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
Carla MatiasSieuve Afonso
Emergency Medicine Journal : EMJ
Mirjam van VeenHenriëtte A Moll
BMJ : British Medical Journal
Ian Maconochie, Mary Dawood
© 2021 Meta ULC. All rights reserved