Use este identificador para citar ou linkar para este item: https://repositorio.bahiana.edu.br:8443/jspui/handle/bahiana/3380
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dc.contributor.authorMendes, Ana Verena Almeida-
dc.contributor.authorRamos, João Gabriel Rosa-
dc.contributor.authorTourinho, Fernanda Correia-
dc.contributor.authorBorrione, Patrícia-
dc.contributor.authorAzi, Paula-
dc.contributor.authorAndrade, Tuanny-
dc.contributor.authorCosta, Vanessa-
dc.contributor.authorReis, Zan-
dc.contributor.authorBatista, Paulo Benigno Pena-
dc.date.accessioned2019-10-02T11:37:11Z-
dc.date.available2019-10-02T11:37:11Z-
dc.date.issued2018-
dc.identifier.issn308-316-
dc.identifier.urihttps://repositorio.bahiana.edu.br:8443/jspui/handle/bahiana/3380-
dc.description.abstractOBJECTIVE: To assess the effect of the implementation of a palliative care program on do-not-resuscitate orders and intensive care unit utilization during terminal hospitalizations. METHODS: Data were retrospectively collected for all patients who died in a tertiary hospital in Brazil from May 2014 to September 2016. We analyzed the frequency of do-not-resuscitate orders and intensive care unit admissions among in-hospital deaths. Interrupted time series analyses were used to evaluate differences in trends of do-not-resuscitate orders and intensive care unit admissions before (17 months) and after (12 months) the implementation of a palliative care program. RESULTS: We analyzed 48,372 hospital admissions and 1,071 in-hospital deaths. Deaths were preceded by do-not-resuscitate orders in 276 (25.8%) cases and admissions to the intensive care unit occurred in 814 (76%) cases. Do-not-resuscitate orders increased from 125 (20.4%) to 151 (33%) cases in the pre-implementation and post-implementation periods, respectively (p < 0.001). Intensive care unit admissions occurred in 469 (76.5%) and 345 (75.3%) cases in the pre-implementation and post-implementation periods, respectively (p = 0.654). Interrupted time series analyses confirmed a trend of increased do-not-resuscitate order registrations, from an increase of 0.5% per month pre-implementation to an increase of 2.9% per month post-implementation (p < 0.001), and demonstrated a trend of decreased intensive care unit utilization, from an increase of 0.6% per month pre-implementation to a decrease of -0.9% per month in the post-implementation period (p = 0.001). CONCLUSION: The implementation of a palliative care program was associated with a trend of increased registration of do-not-resuscitate orders and a trend of decreased intensive care unit utilization during terminal hospitalizations.pt_BR
dc.language.isoenpt_BR
dc.sourcehttps://www.ncbi.nlm.nih.gov/pubmed/30183975pt_BR
dc.subjectPalliative care; Resuscitation orders; Patient care planning; Interrupted time series analysis; Intensive care unitspt_BR
dc.title.Effect of a palliative care program on trends in intensive care unit utilization and do-not-resuscitate orders during terminal hospitalizations. An interrupted time series analysispt_BR
dc.title.alternativeRevista Brasileira Terapia Intensivapt_BR
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