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Titolo:
PATTERNS OF CARE IN ADVANCED HIV DISEASE IN A TERTIARY-TREATMENT CENTER
Autore:
GOLDSTONE I; KUHL D; JOHNSON A; LE R; MCLEOD A;
Indirizzi:
ST PAULS HOSP,BRITISH COLUMBIA CTR EXCELLENCE HIV AIDS,1081 BURRARD ST VANCOUVER BC V6Z 1Y6 CANADA UNIV BRITISH COLUMBIA,DEPT FAMILY & COMMUNITY MED VANCOUVER BC V6T 1W5 CANADA UNIV BRITISH COLUMBIA,DEPT MED VANCOUVER BC V6T 1W5 CANADA UNIV BRITISH COLUMBIA,DEPT NURSING VANCOUVER BC V6T 1W5 CANADA ST PAULS HOSP VANCOUVER BC V6Z 1Y6 CANADA
Titolo Testata:
AIDS care
, volume: 7, anno: 1995, supplemento:, 1
pagine: 47 - 56
SICI:
0954-0121(1995)7:<47:POCIAH>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
LIFE-SUPPORT; ATTITUDES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
I. Goldstone et al., "PATTERNS OF CARE IN ADVANCED HIV DISEASE IN A TERTIARY-TREATMENT CENTER", AIDS care, 7, 1995, pp. 47-56

Abstract

A retrospective chart review of all in-patient deaths in 1992 was undertaken to examine patterns of care in advanced HIV disease at St Paul's Hospital, Vancouver, Canada. St Paul's Hospital cares for approximately 75% of the Province of British Columbia's AIDS caseload. This represents about 18% of Canada's caseload. Data were collected on demographic characteristics, the utilization of home care and community services, income and social support, symptom presentation at terminal admission and the utilization of acute hospital care and hospital based palliative care. A total of 126 deaths were reviewed. All but two subjects were homosexual/bisexual men. The median age at death was 39 years (range 24-67). Four patterns of care at death were identified: (1) aggressive therapy with resuscitation 24 (19%), (resuscitation was initiated in 58%); (2) aggressive therapy with a no resuscitation order 49 (39%), in which the palliative period was a median of three days; (3) death on the palliative care unit 33 (29%), with a median survival once palliative of 20 days; and (4) death on the palliative care unit following respite admissions 16 (13%), with a median survival once palliative of 64 days. Despite a well known and respected Palliative Care Unitand community palliative care programme, there is a marked trend towards death occurring during aggressive therapy with a 200% increase in the initiation of resuscitation compared to the previous three years. No-one has been discharged alive from hospital following the initiation of resuscitation since 1988. This study illustrates the need for providers and persons infected with HIV to reconsider expectations about treatment outcomes in advanced HIV disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 04:29:57