Treece Jennifer, Chemchirian Hrak, Hamilton Neil, Jbara Manar, Gangadharan Venkataramanan, Paul Timir, Baumrucker Steven J
1 Department of Internal Medicine, East Tennessee State University, Johnson City, TN, USA.
2 Department of Cardiology, Charleston Area Medical Center, Charleston, WV, USA.
Am J Hosp Palliat Care. 2018 Mar;35(3):514-522. doi: 10.1177/1049909117709468. Epub 2017 May 30.
A minority of patients with end-stage disease are referred to palliative medicine for consultation in advanced heart failure. Educating stakeholders, including primary care, cardiology, and critical care of the benefits of hospice and palliative medicine for patients with poor prognosis, may increase appropriately timed referrals and improve quality of life for these patients. This article reviews multiple tools useful in prognostication in the setting of advanced heart failure.
少数终末期疾病患者在晚期心力衰竭时会被转诊至姑息医学科进行会诊。对包括初级保健、心脏病学和重症监护在内的利益相关者进行教育，让他们了解临终关怀和姑息医学对预后不良患者的益处，可能会增加适时转诊，并改善这些患者的生活质量。本文综述了多种有助于晚期心力衰竭患者预后评估的工具。
