Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil

Detalhes bibliográficos
Autor(a) principal: Soares, L. G. L.
Data de Publicação: 2018
Outros Autores: Japiassu, A. M., Gomes, L.C., Pereira, R.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/33984
Resumo: 2020-07-11
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spelling Soares, L. G. L.Japiassu, A. M.Gomes, L.C.Pereira, R.2019-07-11T13:58:10Z2019-07-11T13:58:10Z2018SOARES, Luiz Guilherme L. et al. Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil. American Journal of Hospice and Palliative Medicine. v. 35, n. 2, p. 198-202, Feb. 2018.1049-9091https://www.arca.fiocruz.br/handle/icict/3398410.1177/10499091176912801938-2715engSAGE PublicationsPost-acute care facility as a discharge destination for patients in need of palliative care in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-07-11Hospital Placi. Post-Acute Care Services and Palliative Care Program. Niterói, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Medicina Intensiva. Rio de Janeiro, RJ, Brasil.Hospital Placi. Post-Acute Care Services and Palliative Care Program. Niterói, RJ, Brazil.Hospital Placi. Post-Acute Care Services and Palliative Care Program. Niterói, RJ, Brazil.Patients with complex palliative care needs can experience delayed discharge, which causes an inappropriate occupancy of hospital beds. Post-acute care facilities (PACFs) have emerged as an alternative discharge destination for some of these patients. The aim of this study was to investigate the frequency of admissions and characteristics of palliative care patients discharged from hospitals to a PACF. We conducted a retrospective analysis of PACF admissions between 2014 and 2016 that were linked to hospital discharge reports and electronic health records, to gather information about hospital-to-PACF transitions. In total, 205 consecutive patients were discharged from 6 different hospitals to our PACF. Palliative care patients were involved in 32% (n ¼ 67) of these discharges. The most common conditions were terminal cancer (n ¼ 42, 63%), advanced dementia (n ¼ 17, 25%), and stroke (n ¼ 5, 8%). During acute hospital stays, patients with cancer had significant shorter lengths of stay (13 vs 99 days, P ¼ .004), a lower use of intensive care services (2% vs 64%, P < .001) and mechanical ventilation (2% vs 40%, P < .001), when compared to noncancer patients. Approximately one-third of discharges from hospitals to a PACF involved a heterogeneous group of patients in need of palliative care. Further studies are necessary to understand the trajectory of posthospitalized patients with life-limiting illnesses and what factors influence their decision to choose a PACF as a discharge destination and place of death. We advocate that palliative care should be integrated into the portfolio of post-acute services.Post-acute carePalliative careDischarge planninginfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/33984/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_soares_Luiz_etal_INI_2018.pdfve_soares_Luiz_etal_INI_2018.pdfapplication/pdf127704https://www.arca.fiocruz.br/bitstream/icict/33984/2/ve_soares_Luiz_etal_INI_2018.pdf04e4717212a191221b499e94a84de3edMD52TEXTve_soares_Luiz_etal_INI_2018.pdf.txtve_soares_Luiz_etal_INI_2018.pdf.txtExtracted texttext/plain23860https://www.arca.fiocruz.br/bitstream/icict/33984/3/ve_soares_Luiz_etal_INI_2018.pdf.txt21c0ec689b0a0dd70890b586aeb7b5d2MD53icict/339842021-03-24 16:32:34.196oai:www.arca.fiocruz.br:icict/33984Tk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352021-03-24T19:32:34Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
title Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
spellingShingle Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
Soares, L. G. L.
Post-acute care
Palliative care
Discharge planning
title_short Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
title_full Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
title_fullStr Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
title_full_unstemmed Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
title_sort Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil
author Soares, L. G. L.
author_facet Soares, L. G. L.
Japiassu, A. M.
Gomes, L.C.
Pereira, R.
author_role author
author2 Japiassu, A. M.
Gomes, L.C.
Pereira, R.
author2_role author
author
author
dc.contributor.author.fl_str_mv Soares, L. G. L.
Japiassu, A. M.
Gomes, L.C.
Pereira, R.
dc.subject.en.pt_BR.fl_str_mv Post-acute care
Palliative care
Discharge planning
topic Post-acute care
Palliative care
Discharge planning
description 2020-07-11
publishDate 2018
dc.date.issued.fl_str_mv 2018
dc.date.accessioned.fl_str_mv 2019-07-11T13:58:10Z
dc.date.available.fl_str_mv 2019-07-11T13:58:10Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SOARES, Luiz Guilherme L. et al. Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil. American Journal of Hospice and Palliative Medicine. v. 35, n. 2, p. 198-202, Feb. 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/33984
dc.identifier.issn.pt_BR.fl_str_mv 1049-9091
dc.identifier.doi.none.fl_str_mv 10.1177/1049909117691280
dc.identifier.eissn.none.fl_str_mv 1938-2715
identifier_str_mv SOARES, Luiz Guilherme L. et al. Post-acute care facility as a discharge destination for patients in need of palliative care in Brazil. American Journal of Hospice and Palliative Medicine. v. 35, n. 2, p. 198-202, Feb. 2018.
1049-9091
10.1177/1049909117691280
1938-2715
url https://www.arca.fiocruz.br/handle/icict/33984
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv SAGE Publications
publisher.none.fl_str_mv SAGE Publications
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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