Utilisation of goals of care discussions and palliative care prior to image-guided procedures near the end of life.
Clin Radiol
; 77(5): 345-351, 2022 05.
Article
en En
| MEDLINE
| ID: mdl-35177227
ABSTRACT
AIM:
To characterise image-guided procedures performed near the end of life and the use of goals of care discussions (GOC) and palliative care consultation (PCC) prior to these procedures. MATERIALS ANDMETHODS:
Retrospective chart review of 3,714 consecutive inpatient procedures performed for 2,351 patients and 8,206 outpatient procedures performed for 5,225 patients within a suburban medical system. Data were collected on demographics, procedures performed, mortality, and use of GOC or PCC prior to the procedures. Procedures near the end of life were classified as emergent, elective, or palliative. Logistic regression was used to assess for demographic disparities in care.RESULTS:
Nine percent of inpatients died within 30 days of their procedure, 57% of which were within the same hospitalisation. Of these patients, 59% had a documented GOC and 35% had a PCC. Similarly, 7% of outpatients died within 6 months of their procedure. A minority of these patients had a documented GOC (37%) or PCC (13%). There were few statistically significant demographic disparities in this care and the associated odds ratios were small.CONCLUSION:
A wide array of image-guided procedures is performed near the end of life. GOC and PCC are underutilised prior to these procedures. Few demographic disparities exist in this care.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos
/
Planificación de Atención al Paciente
Tipo de estudio:
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Clin Radiol
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos