한빛사논문
Jihae Lee, MD1; Liliya Abrukin, MD, MPH2; Stefan Flores, MD2; Nicholas Gavin, MD, MBA, MS2; Marie-Laure Romney, MD, MBA2; Craig D. Blinderman, MD, MA1; Shunichi Nakagawa, MD1,*
1Adult Palliative Care Service, Department of Medicine, Columbia University Irving Medical Center, New York, New York
2Department of Emergency Medicine, Columbia University Irving Medical Center, New York, New York
*Corresponding author
Abstract
During the novel coronavirus disease 2019 (COVID-19) pandemic, it is particularly critical to ensure that life-sustaining treatment (LST) such as intubation and resource-intensive cardiopulmonary resuscitation (CPR) are aligned with a patient’s goals and values, and to avoid LSTs in patients with a poor prognosis that are unlikely to be beneficial, but have a high risk of causing additional suffering. The high volume and acuity of COVID-19 patients makes it extremely challenging for emergency department (ED) clinicians to take adequate time to clarify goals of care (GOC). We implemented an ED-based COVID-19 palliative care response team focused on providing high-quality GOC conversations in time-critical situations. We examined the clinical characteristics and outcomes of patients who received this intervention.
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