Universität zu Köln

Berendt, J., Ostgathe, C., Simon, S. T., Tewes, M., Schlieper, D., Schallenburger, M., Meier, S., Gahr, S., Schwartz, J. and Neukirchen, M. . Cooperation between intensive care and palliative care The status quo in German Comprehensive Cancer Centers. Med. Klin.-Intensivmed Notfallmed.. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2193-6226

Full text not available from this repository.

Abstract

Background For intensive care patients with limited life expectancy the integration of palliative care in intensive care may be beneficial. However, little is known about the extent of this interdisciplinary collaboration. Objectives The support given by palliative medicine in German oncological centers and used by the intensive care units should be recorded. Material and methods A descriptive survey was conducted in all of the 16 Comprehensive Cancer Centers (CCC) funded by German Cancer Aid. The questionnaires were sent to the head of department of the CCCs' specialized palliative care teams. Data were collected for the year 2016. Quantitative data were analysed to establish frequencies, given as mean and median. A qualitative section asked for trigger factors, i.e., patient characteristics triggering a palliative care consultation. Evaluation was inductively carried out by content analysis according to Mayring. Results Data from 15 of the 16 CCCs (94%) were obtained between July and August 2017. In 2016, the median of intensive care patients with palliative care consultations was 33 (minimum 0, maximum 100). The median of nine patients were transferred from an intensive care unit to a palliative care unit (minimum 1, maximum 30). Multidisciplinary ward rounds by both intensive and palliative care staff were available in two CCCs on a regular basis. Two CCCs implemented screening tools to integrate specialized palliative care into intensive care. From 23 responses concerning triggers, three categories were established, i.e., team's decision and attitude, patient's condition and desires of patients and relatives. Conclusions Palliative care is available in German CCCs. However, the degree of integration of specialized palliative care into intensive care units is low. Screening tools are available to identify patients with complex needs and to trigger a palliative care consultation. These tools, as well as joint ward rounds of intensive and palliative care staff, can improve the quality of patient centred care.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Berendt, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ostgathe, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Simon, S. T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Tewes, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlieper, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schallenburger, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Meier, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gahr, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwartz, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Neukirchen, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-323725
DOI:	10.1007/s00063-020-00712-0
Journal or Publication Title:	Med. Klin.-Intensivmed Notfallmed.
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	2193-6226
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTERDISCIPLINARY ASSOCIATION; CONSULTATION SERVICE; CRITICALLY-ILL; ETHICS SECTION; MEDICINE; UNIT; ONCOLOGISTS; INTEGRATION; DECISIONS; PATIENT Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32372