在纽约市 COVID-19 大流行期间的虚拟机构间姑息治疗咨询。
Virtual Interinstitutional Palliative Care Consultation during the COVID-19 Pandemic in New York City.
机构信息
Adult Palliative Care Service, Department of Medicine, Department of Surgery, Columbia University Irving Medical Center, New York, New York, USA.
Division of General Surgery, Department of Surgery, Columbia University Irving Medical Center, New York, New York, USA.
出版信息
J Palliat Med. 2021 Sep;24(9):1387-1390. doi: 10.1089/jpm.2021.0208. Epub 2021 Jun 30.
Amid the COVID-19 surge in New York City, the need for palliative care was highlighted. Virtual consultation was introduced to expand specialist-level care to meet demand. To examine the outcomes of COVID-19 patients who received virtual palliative care consultation from outside institutions. This is a retrospective case series. Subjects were 34 patients who received virtual palliative care consultation between April 13, 2020, and June 14, 2020. Follow-up frequency and duration, code status change, withdrawal of life-sustaining treatment (LST), and multidisciplinary involvement. Twenty-eight patients (82.3%) were in the intensive care unit and 29 patients (85.3%) were on at least two LSTs. Fifteen patients (44.1%) died in the hospital, 9 patients (26.4%) were discharged alive, and 10 patients (29.4%) were signed off. The median frequency of visits was 4.5 (IQR 6) over 11 days follow-up (IQR 17). Code status change was more frequent in deceased patients. LSTs were withdrawn in eight patients (23.5%). Virtual palliative care consultation was feasible during the height of the COVID-19 pandemic.
在纽约市 COVID-19 疫情激增期间，人们对姑息治疗的需求凸显出来。引入虚拟咨询以扩大专家级护理以满足需求。 考察从外部机构接受虚拟姑息治疗咨询的 COVID-19 患者的结果。 这是一项回顾性病例系列研究。 研究对象为 2020 年 4 月 13 日至 6 月 14 日期间接受虚拟姑息治疗咨询的 34 名患者。 随访频率和持续时间、代码状态变化、停止生命支持治疗 (LST) 和多学科参与。 28 名患者（82.3%）在重症监护病房，29 名患者（85.3%）至少接受了两种 LST。15 名患者（44.1%）在医院死亡，9 名患者（26.4%）存活出院，10 名患者（29.4%）出院。在 11 天的随访中（IQR 17），中位数就诊次数为 4.5（IQR 6）。死亡患者的代码状态变化更为频繁。有 8 名患者（23.5%）停止了 LST。 在 COVID-19 大流行期间，虚拟姑息治疗咨询是可行的。
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