Changing characteristics of patients with palliative care needs in acute hospitals.

IF 0.7 Q4 NURSING

International Journal of Palliative Nursing Pub Date : 2023-07-02 DOI:10.12968/ijpn.2023.29.7.322

Kate Alexandra Atkinson, Helena Spriggs, Hannah Hall, Leonie Armstrong, Katherine Frew

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引用次数: 0

Abstract

Background: Palliative care services drastically changed over the course of the COVID-19 pandemic between the years 2020 to 2022.

Aim: To report on the changes in a specialist palliative care hospital liaison service (SPCHLS) during the COVID-19 pandemic, and consider the impact of this for longer term service modelling.

Methods: A retrospective analysis of patients admitted via the emergency department (ED) in January 2020 and 2021, who were given a palliative care 'code' at the end of their episode of care. Data were collected using electronic records and descriptive statistics were used.

Findings: The total number of patients seen in the ED increased by 30%, with a 185% increase in death as an outcome of admission. A total of 50% of patients were seen by a member of the SPCHLS in the ED in 2021, compared to just 28% in 2020. There was a 46% increase in the number of patients transferred to a Specialist Palliative Care Unit.

Conclusions: Delayed diagnoses, long waiting times and changing community services lead to increased pressure and a requirement to meet palliative care needs in acute hospitals. There is a growing need for acute palliative care services to meet the needs of the population.

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急症医院患者姑息治疗需求的变化特征

背景:在2020年至2022年COVID-19大流行期间，姑息治疗服务发生了巨大变化。目的:报告2019冠状病毒病大流行期间专科姑息治疗医院联络服务(SPCHLS)的变化，并考虑其对长期服务模型的影响。方法:对2020年1月和2021年1月通过急诊科(ED)入院的患者进行回顾性分析，这些患者在治疗结束时给予姑息治疗“代码”。数据收集采用电子记录和描述性统计。结果:在急诊科就诊的患者总数增加了30%，入院后死亡人数增加了185%。2021年，共有50%的患者在急诊室接受了SPCHLS成员的治疗，而2020年这一比例仅为28%。转到专科姑息治疗病房的患者人数增加了46%。结论:诊断延迟、等待时间长和社区服务变化导致急症医院的压力和满足姑息治疗需求的要求增加。对急性姑息治疗服务的需求日益增长，以满足人口的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Palliative Nursing NURSING-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： Since its launch in 1995, International Journal of Palliative Nursing (IJPN) has been committed to promoting excellence in palliative and hospice care. It is now established as the leading journal for nurses working in this most demanding profession, covering all aspects of palliative care nursing in a way which is intelligent, helpful and accessible, and so useful in daily practice. The aim of IJPN is to provide nurses with essential information to help them deliver the best possible care and support for their patients. Each issue contains an unparalleled range of peer-reviewed clinical, professional and educational articles, as well as helpful and informative information on practical, legal and policy issues of importance to all palliative nurses.