Palliative care terminology and practice in intensive care units in the Czech Republic: results of PEOpLE‑C19 study
Authors:
T. Prokopová 1,2; J. Hudec 1,2; K. Vrbica 1; J. Stašek 1; A. Pokorná 3,4,5; P. Štourač 2,6; K. Rusinová 7; P. Kerpnerová 8; R. Štěpánová 9; A. Svobodník 9; J. Maláska 2,6,10; Ripe-Icu Skupina Výzkumná
Authors‘ workplace:
Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity, Brno
1; Ústav simulační medicíny, Lékařská fakulta Masarykovy univerzity, Brno
2; Ústav zdravotnických věd, Lékařská fakulta Masarykovy univerzity, Brno
3; Institut biostatistiky a analýz, Lékařská fakulta Masarykovy univerzity, Brno
4; České národní centrum Evidence-based Healthcare Translation, Lékařská fakulta Masarykovy univerzity, Brno
5; Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity, Brno
6; Klinika paliativní medicíny, 1. lékařská fakulta Karlovy univerzity a Všeobecná fakultní nemocnice v Praze, Praha
7; ANOVA CRO, s. r. o., Praha
8; Farmakologický ústav, Lékařská fakulta Masarykovy Univerzity, Brno
9; II. anesteziologicko‑resuscitační, oddělení, Fakultní nemocnice Brno
10
Published in:
Anest. intenziv. Med., 33, 2022, č. 5, s. 198-204
Category:
Original Papers
doi:
https://doi.org/10.36290/aim.2022.032
Overview
Study goal: Palliative care is an essential part of a complex approach to patients in the intensive care unit (ICU). This study aimed to describe palliative care practice in ICU in the Czech Republic.
Study type: a cross-sectional, questionnaire study
Material and methods: The inclusion criteria for study participation were nurses or physicians taking care of patients in the ICU for patients with Coronavirus Disease 2019 (COVID-19). The participants could participate by filling out the electronic survey with 40 questions. The questionnaire was evaluated by descriptive statistical analysis.
Results: 313 questionnaires were analyzed. Participants reported up to 15 different terms for end-of-life care, the most often being palliative care (75.1%, n=235). The supportive care, especially sedatives, was most frequently adjusted according to the patient’s needs. On the other hand, as a standard approach, the parenteral (35.8%, n=112) and enteral (17.3%, n=54) nutrition were most often withdrawn. Regarding organ support, renal replacement therapy (69.7%, n=218) and vasopressors (60.4%,
n=189) were often withdrawn. The most rarely withdrawn organ support was artificial ventilation (24.6%, n=77), endotracheal intubation (11.5%,n=36), and tracheostomy cannula (2.9%, n=9). The majority of respondents would appreciate further education in palliative care.
Conclusion: Palliative care is an essential theme not only in the COVID-19 pandemic. The palliative care terminology and practice used in the Czech Republic are heterogeneous. There is a space for further research and education in palliative care.
Keywords:
palliative care – intensive care unit – terminology – end-of-life care
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