Here is an article about Palliative Care Utilization Among Patients With COVID-19 in an Underserved Population.
Background. As health-care institutions mobilize resources to address the coronavirus disease 2019 (COVID-19) pandemic,
palliative care may potentially be underutilized. It is important to assess the use of palliative care in response to the COVID-19
Methods. This is a retrospective single-center study of patients with COVID-19 diagnosed via reverse transcriptase-polymerase
Chain reaction assay admitted between March 1, 2020, and April 24, 2020. An analysis of the utilization of palliative care in
Accordance with patient comorbidities and other characteristics was performed while considering clinical outcomes.
Chi-square Test was used to determine associations between categorical variables while t-tests were used to compare continuous variables.
Results. The overall mortality rate was 21.5% (n ¼ ۵۲), and in 48% (n ¼ ۲۵) of these patients, palliative care was not
Involved. Fifty-nine percent (n ¼ ۲۴) of those who had palliative consults eventually elected for comfort measures and
Transitioned to hospice care. Among those classified as having severe COVID-19, only 40% (n ¼ ۳۱) had palliative care
Involvement. Of these patients with severe COVID-19, 68% (n ¼ ۵۲) died. Patients who got palliative care consults were of
Older age, had higher rates of intubation, a need for vasopressors , and were dead.
Conclusion. There was a low utilization rate of palliative care in patients with COVID-19. Conscious utilization of palliative
Care is needed at the time of COVID-19. J Pain Symptom Manage 2020;-:-e-. ۲۰۲۰ American Academy of Hospice and
Palliative Medicine. Published by Elsevier Inc. All rights reserved.