April 1, 2013

Impact of Consideration of Transplantation on End-of-Life Care for Patients During a Terminal Hospitalization


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The researchers of this study looked at how consideration of transplantation affects the end-of-life care received by patients. An evaluation of the care provided was undertaken by abstracting medical records for 496 adults who died in one transplant medical center between April 2005 and April 2006. The quality indicators measured were chosen from the Assessing Care of Vulnerable Elders, focusing on communication and symptom management. The study demonstrated that 25% of decedent patients were considered for transplantation. Those patients considered for transplantation received lower-quality end-of-life care, had longer hospital stays before death, and were more likely to receive aggressive life-sustaining treatments. While consideration for transplant is important, it should not affect the quality of end-of-life care.

Cardiac Transplantation, Liver Transplantation, Lung Transplantation, Renal Transplantation, Uncategorized

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