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Observational Study
Evaluation of a New Triage Protocol for Palliative Care for Patients with COVID-19 in Brazil.
- Tulio Correa, Salomão SimãoÁurea MariaÁMDepartment of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, Brazil., Barros SobreiraJoyce VeceliJVDepartment of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.Faculty of Nursing, Universidade Federal do Maranhão, Sao Luis, Brazil., Baeninger AnbarFernandaFDepartment of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil.Santa Casa de Sao Paulo School of Medical Sciences, Sao Paulo, Brazil., Flávia Yarshell, Ana Beatriz Brandão, Queirós EstuqueMonicaMDepartment of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil., Juraci Aparecida Rocha, and Tavares de CarvalhoRicardoR0000-0003-0841-2985Department of Palliative Care, Hospital das Clínicas University of São Paulo Faculty of Medicine (HCFMUSP), Sao Paulo, Brazil..
- Faculty of Medicine, Universidade Federal de Pelotas, Pelotas, Brazil.
- J Palliat Med. 2023 Feb 1; 26 (2): 253256253-256.
AbstractObjectives: To evaluate the implementation of a triage protocol for palliative care (PC) during the COVID-19 pandemic (PALI-COVID) at a referral center in Brazil. Methods: A retrospective observational study was conducted. Based on the triage protocol, patients were classified into a red group, a yellow group, and a green group (GG). Patients should receive PC as recommended for each group. Results: A total of 1517 patients were included in the analysis. About 11% (n = 162) of patients received PC. About 35% (n = 529) of all patients died. There was a significant difference in the mortality rate between the groups; the GG had the highest mortality rate. Most patients who died (77.1%) did not receive PC. Conclusion: PALI-COVID was effective in identifying patients who had a higher risk of death and needed end-of-life support. Despite the protocol, few patients received PC.
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