Publication details

Terminologie a praxe paliativní péče na jednotkách intenzivní péče v České republice: výsledky studie PEOpLE­‑C19

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Title in English Palliative care terminology and practice in intensive care units in the Czech Republic: results of PEOpLE­-C19 study
Authors

PROKOPOVÁ Tereza HUDEC Jan VRBICA Kamil STAŠEK Jan POKORNÁ Andrea ŠTOURAČ Petr RUSINOVÁ K. KERPNEROVÁ P. ŠTĚPÁNOVÁ Radka SVOBODNÍK Adam MALÁSKA Jan

Year of publication 2022
Type Article in Periodical
Magazine / Source Anesteziologie a intenzivní medicína
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.aimjournal.cz/artkey/aim-202204-0001_palliative-care-terminology-and-practice-in-intensive-care-units-in-the-czech-republic-results-of-people-820.php
Doi http://dx.doi.org/10.36290/aim.2022.032
Keywords palliative care; end-of-life care; terminology; intensive care unit
Attached files
Description 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other hand, as a standard approach, the parenteral (35.8%, n=112) and enteral (17.3%, n=54) nutrition were most often withdrawn. Regarding organ support, renal replacement therapy (69.7%, n=218) and vasopressors (60.4%, n=189) were often withdrawn. The most rarely withdrawn organ support was artificial ventilation (24.6%, n=77), endotracheal intubation (11.5%,n=36), and tracheostomy cannula (2.9%, n=9).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.
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