An Observational Study on the Effects of Delayed Initiation of End-of-Life Care in Terminally ill Young Adults in the Intensive Care Unit.
Delayed initiation
end-of-life
intensive care unit
Journal
Indian journal of palliative care
ISSN: 0973-1075
Titre abrégé: Indian J Palliat Care
Pays: United States
ID NLM: 101261221
Informations de publication
Date de publication:
Historique:
received:
13
03
2020
accepted:
14
05
2020
entrez:
26
5
2021
pubmed:
27
5
2021
medline:
27
5
2021
Statut:
ppublish
Résumé
The early initiation of end-of-life (EOL) care in terminally ill patients in the intensive care unit (ICU) offers distinct advantages but requires the consent and cooperation of the patients or their relatives. The terminally ill young adults pose distinct set of challenges. The present study was conducted to measure the prevalence and identify and compare the risk factors for the delayed initiation of EOL in terminally ill young adults. The retrospective study was conducted in a mixed medical-surgical 7-bedded ICU after extracting the medical records of all terminally ill young adults in the age group of 20-40 years admitted between June 2014 and November 2018. Only "treatment futile" patients were eligible for inclusion. The patients already on EOL care or with unproven diagnosis were excluded from the study. The commencement of EOL care was divided into (a) normal group (N) and (b) late group (L). The two groups were compared with respect to the demographic factors, outcome, and patient satisfaction level. The factors responsible for the delay were investigated. All statistical analyses were performed using software SPSS 21.0 (SPSS, Inc., Chicago, IL, USA). Out of 66 terminally ill young adults with treatment futility, 23 (38.9%) were in the N group and 36 (61.1%) were in the L group (0.8 ± 0.4 days vs. 3.1 ± 1.6 days; Our study found a high prevalence of delayed initiation of EOL care in terminally ill young adults and identified the factors responsible for them. The normal initiation of EOL care reduced the usage of medications and resources without affecting the level of patient satisfaction.
Identifiants
pubmed: 34035614
doi: 10.4103/IJPC.IJPC_61_20
pii: IJPC-27-31
pmc: PMC8121244
doi:
Types de publication
Journal Article
Langues
eng
Pagination
31-34Informations de copyright
Copyright: © 2021 Indian Journal of Palliative Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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