Palliative Sedation in Patients Hospitalized in Internal Medicine Departments

Palliative Sedation in Patients Hospitalized in Internal Medicine Departments

Palliative sedation is used to relieve end-of-life refractory symptoms. The objective of this study was to describe the use of palliative sedation in patients who die in internal medicine departments. An observational, cross-sectional, retrospective, and multicenter clinical audit study was conducte...

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Veröffentlicht in:Journal of pain and symptom management 2020-02, Vol.59 (2), p.302-309
Hauptverfasser: Díez-Manglano, Jesús, Isasi de Isasmendi Pérez, Soledad, Formiga, Françesc, Dueñas, Carlos, Casariego Vales, Emilio, de Isasmendi Pérez, Soledad Isasi, Gómez, Marta Rubio, Pérez, Magdalena Martín, Díez García, Luis Felipe, Losada, Cristina Ocaña, Roldán, Susana Moya, Pérez, Catalina Díaz, Granado, Javier Caballero, García Font, Resfa María, Jódar Lorente, Francisco J., Vázquez, Gloria Pérez, Amaya González, María Luisa, Hernández, Mercedes Gómez, León, Lola Benítez, Rivas, Lorena Montero, Mariscal, María Ruiz, Aguirre, Noelia Gómez, Bueno Castel, María Carmen, Laiglesia, Fernando Ruiz, Tello, Esperanza Bejarano, Cabrerizo García, José Luis, Requejo, Pedro Abad, Gutiérrez, Rocío Martínez, Regueiro, Rebeca Fernández, Sánchez Vidal, María Teresa, Mejido, Joaquín Alfonso, Carús, Enrique García, Calvo Rodríguez, Carmen Elena, García, Paula Martínez, Olivares, Sixto Ruiz, Fullana Barcelo, María Isabel, Arencibia, Carmen González, Vilamajó, Rosa Ros, Becerra, Concepción González, Pérez, Sofía, Gutiérrez, Carlos Dueñas, Álvarez, Francisco Estrada, Galindo, Raúl Rodríguez, Cobos Siles, Marta María, Sánchez Muñoz, Luis Ángel, Chimeno Viñas, María Montserrat, González, Francisco Medrano, Machín Lázaro, José Manuel, Giménez, Joaquín Castro, Barberá Farré, José Ramón, Aragón, Raquel Núñez, Torán, Ferrán Masanés, Barbé, José, Farré, Elena Güell, Miñana, Ana lozano, Salomó, Antoni Castro, Qanneta, Rami, Pardo Ortega, María Victoria, Díaz, Cristina Estrada, Pintado, Yasmina Monterroso, Almendros Rivas, María Cruz, Albin, Dolors Domingo, Morera, Jaume Roig, Parodi, Aythami Toro, Sánchez, Mario Loureiro, Acebal, Carla de la Guerra, García, Javier Zubizarreta, Claveras, Iasone Benavente, Cabanes, Juan Martí, Arévalo Lorido, José Carlos, Vales, Emilio Casariego, Lorenzo Vizcaya, Ana María, Sánchez, Pascual Sesma, Jiménez-Beatty, María Dolores, Vázquez, Laura González, Hernando, Ángel Brea, Herrero, Jesús Castiella, Gracia Lorenzo, Virginia M., Martín, Alejandro Pérez, Melcón, Gerardo García, Gil, Fuensanta Gil, Martínez, María Asenjo, Aragoneses, Lourdes Mancebo, Cuesta, Fernando Laguna, Segovia Abad, María Eugenia, Ortega, María Fontecha, Blanco, Ana Pinos, Fraile, Raquel Rodil, Echeverría, Aitziber Echeverría, Serrano, Carlos Trescoli, Tomás, Eva Gil, Rubio, Rafael Castillo, Murcia Zaragoza, José Manuel, Sánchez, Pilar Román, Herola, Ana García, Blázquez Encinar, Julio César, Carrizo, Néstor, Galvañ, Vicente Giner, Roca Villanueva, Bernardino Manuel
Format: Artikel
Sprache:eng
Schlagworte:
Anesthesia
Argentina - epidemiology
Cancer
Clinical audits
Cross-Sectional Studies
Dosage
Drug dosages
Dyspnea
End of life decisions
Hospitals
Humans
Hydration
Hypnotics and Sedatives - therapeutic use
Induction
Internal medicine
Length of stay
Midazolam
Morphine
Neoplasms - drug therapy
Pain
Palliative Care
Palliative sedation
Retrospective Studies
Sedation
Spain - epidemiology
Terminal Care
Terminal illnesses
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Beschreibung
Zusammenfassung:Palliative sedation is used to relieve end-of-life refractory symptoms. The objective of this study was to describe the use of palliative sedation in patients who die in internal medicine departments. An observational, cross-sectional, retrospective, and multicenter clinical audit study was conducted in 145 hospitals in Spain and Argentina. Each hospital included the first 10 patients who died in the internal medicine department, starting on December 1, 2015. We included 1447 patients, and palliative sedation was administered to 701 patients (48.4%). Having a terminal illness (odds ratio [OR] 2.469, 95% CI 1.971–3.093, P 
ISSN:0885-3924
1873-6513
DOI:10.1016/j.jpainsymman.2019.10.013