Benefits and Harms of Continuous Intravenous Inotropic Support as Palliative Therapy: A Single-Institution, Retrospective Analysis.

cardiac inotrope heart failure palliative care

Journal

The American journal of hospice & palliative care
ISSN: 1938-2715
Titre abrégé: Am J Hosp Palliat Care
Pays: United States
ID NLM: 9008229

Informations de publication

Date de publication:
Jan 2024
Historique:
pubmed: 23 2 2023
medline: 23 2 2023
entrez: 22 2 2023
Statut: ppublish

Résumé

Use of continuous intravenous inotropic support (CIIS) strictly as palliative therapy for patients with ACC/AHA Stage D (end-stage) Heart Failure (HF) has increased significantly. The harms of CIIS therapy may detract from its benefits. To describe benefits (improvement in NYHA functional class) and harms (infection, hospitalization, days-spent-in-hospital) of CIIS as palliative therapy. Methods: Retrospective analysis of patients with end-stage HF initiated on CIIS as palliative therapy at an urban, academic center in the United States between 2014-2016. Clinical outcomes were extracted, and data were analyzed using descriptive statistics. Seventy-five patients, 72% male, 69% African American/Black, with a mean age 64.5 years (

Identifiants

pubmed: 36812883
doi: 10.1177/10499091231160162
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

50-55

Déclaration de conflit d'intérêts

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Anirudh Rao (A)

Georgetown University School of Medicine, Washington, DC, USA.
Section of Palliative Care, Department of Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Mansi Maini (M)

Georgetown University School of Medicine, Washington, DC, USA.

Kelley M Anderson (KM)

Georgetown University School of Nursing, Washington, DC, USA.

Nancy A Crowell (NA)

Georgetown University School of Nursing, Washington, DC, USA.

Sherry S Gholami (SS)

Georgetown University School of Medicine, Washington, DC, USA.

Carroll Foley Lgsw (C)

Section of Palliative Care, Department of Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Diana Violanti (D)

Department of Pharmacy, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.

Manavotam Singh (M)

Advanced Heart Failure Program, MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington, DC, USA.

Farooq H Sheikh (FH)

Georgetown University School of Medicine, Washington, DC, USA.
Advanced Heart Failure Program, MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington, DC, USA.

Samer S Najjar (SS)

Advanced Heart Failure Program, MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington, DC, USA.

Hunter Groninger (H)

Georgetown University School of Medicine, Washington, DC, USA.
Section of Palliative Care, Department of Medicine, MedStar Washington Hospital Center, Washington, DC, USA.

Classifications MeSH