University of Hertfordshire

Standard

Transferring patients home to die : what is the potential population in UK critical care units? / Coombs, Maureen A; Darlington, Anne-Sophie E; Long-Sutehall, Tracy; Pattison, Natalie; Richardson, Alison.

1 ed. BMJ Publishing Group Limited, 2017. 4 p.

Research output: Book/ReportOther report

Harvard

Coombs, MA, Darlington, A-SE, Long-Sutehall, T, Pattison, N & Richardson, A 2017, Transferring patients home to die: what is the potential population in UK critical care units? vol. 7, 1 edn, BMJ Publishing Group Limited. https://doi.org/10.1136/bmjspcare-2014-000834

APA

Coombs, M. A., Darlington, A-S. E., Long-Sutehall, T., Pattison, N., & Richardson, A. (2017). Transferring patients home to die: what is the potential population in UK critical care units? (1 ed.) BMJ Publishing Group Limited. https://doi.org/10.1136/bmjspcare-2014-000834

Vancouver

Coombs MA, Darlington A-SE, Long-Sutehall T, Pattison N, Richardson A. Transferring patients home to die: what is the potential population in UK critical care units? 1 ed. BMJ Publishing Group Limited, 2017. 4 p. https://doi.org/10.1136/bmjspcare-2014-000834

Author

Coombs, Maureen A ; Darlington, Anne-Sophie E ; Long-Sutehall, Tracy ; Pattison, Natalie ; Richardson, Alison. / Transferring patients home to die : what is the potential population in UK critical care units?. 1 ed. BMJ Publishing Group Limited, 2017. 4 p.

Bibtex

@book{963ca9df56564eb0b4bc49cb46ba8dc5,
title = "Transferring patients home to die: what is the potential population in UK critical care units?",
abstract = "OBJECTIVES: Most people when asked, express a preference to die at home, but little is known about whether this is an option for critically ill patients. A retrospective cohort study was undertaken to describe the size and characteristics of the critical care population who could potentially be transferred home to die if they expressed such a wish.METHODS: Medical notes of all patients who died in, or within 5 days of discharge from seven critical care units across two hospital sites over a 12-month period were reviewed. Inclusion/exclusion criteria were developed and applied to identify the number of patients who had potential to be transferred home to die and demographic and clinical data (eg, conscious state, respiratory and cardiac support therapies) collected.RESULTS: 7844 patients were admitted over a 12-month period. 422 (5.4%) patients died. Using the criteria developed 100 (23.7%) patients could have potentially been transferred home to die. Of these 41 (41%) patients were diagnosed with respiratory disease. 53 (53%) patients were conscious, 47 (47%) patients were self-ventilating breathing room air/oxygen via a mask. 20 (20%) patients were ventilated via an endotracheal tube. 76 (76%) patients were not requiring inotropes/vasopressors. Mean time between discussion about treatment withdrawal and time of death was 36.4 h (SD=46.48). No patients in this cohort were transferred home.CONCLUSIONS: A little over 20% of patients dying in critical care demonstrate potential to be transferred home to die. Staff should actively consider the practice of transferring home as an option for care at end of life for these patients.",
keywords = "Critical Care, Humans, Patient Discharge, Terminal Care, United Kingdom, Withholding Treatment, Journal Article",
author = "Coombs, {Maureen A} and Darlington, {Anne-Sophie E} and Tracy Long-Sutehall and Natalie Pattison and Alison Richardson",
note = "This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/",
year = "2017",
month = mar,
day = "1",
doi = "10.1136/bmjspcare-2014-000834",
language = "English",
isbn = "2045-435X",
volume = "7",
publisher = "BMJ Publishing Group Limited",
edition = "1",

}

RIS

TY - BOOK

T1 - Transferring patients home to die

T2 - what is the potential population in UK critical care units?

AU - Coombs, Maureen A

AU - Darlington, Anne-Sophie E

AU - Long-Sutehall, Tracy

AU - Pattison, Natalie

AU - Richardson, Alison

N1 - This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

PY - 2017/3/1

Y1 - 2017/3/1

N2 - OBJECTIVES: Most people when asked, express a preference to die at home, but little is known about whether this is an option for critically ill patients. A retrospective cohort study was undertaken to describe the size and characteristics of the critical care population who could potentially be transferred home to die if they expressed such a wish.METHODS: Medical notes of all patients who died in, or within 5 days of discharge from seven critical care units across two hospital sites over a 12-month period were reviewed. Inclusion/exclusion criteria were developed and applied to identify the number of patients who had potential to be transferred home to die and demographic and clinical data (eg, conscious state, respiratory and cardiac support therapies) collected.RESULTS: 7844 patients were admitted over a 12-month period. 422 (5.4%) patients died. Using the criteria developed 100 (23.7%) patients could have potentially been transferred home to die. Of these 41 (41%) patients were diagnosed with respiratory disease. 53 (53%) patients were conscious, 47 (47%) patients were self-ventilating breathing room air/oxygen via a mask. 20 (20%) patients were ventilated via an endotracheal tube. 76 (76%) patients were not requiring inotropes/vasopressors. Mean time between discussion about treatment withdrawal and time of death was 36.4 h (SD=46.48). No patients in this cohort were transferred home.CONCLUSIONS: A little over 20% of patients dying in critical care demonstrate potential to be transferred home to die. Staff should actively consider the practice of transferring home as an option for care at end of life for these patients.

AB - OBJECTIVES: Most people when asked, express a preference to die at home, but little is known about whether this is an option for critically ill patients. A retrospective cohort study was undertaken to describe the size and characteristics of the critical care population who could potentially be transferred home to die if they expressed such a wish.METHODS: Medical notes of all patients who died in, or within 5 days of discharge from seven critical care units across two hospital sites over a 12-month period were reviewed. Inclusion/exclusion criteria were developed and applied to identify the number of patients who had potential to be transferred home to die and demographic and clinical data (eg, conscious state, respiratory and cardiac support therapies) collected.RESULTS: 7844 patients were admitted over a 12-month period. 422 (5.4%) patients died. Using the criteria developed 100 (23.7%) patients could have potentially been transferred home to die. Of these 41 (41%) patients were diagnosed with respiratory disease. 53 (53%) patients were conscious, 47 (47%) patients were self-ventilating breathing room air/oxygen via a mask. 20 (20%) patients were ventilated via an endotracheal tube. 76 (76%) patients were not requiring inotropes/vasopressors. Mean time between discussion about treatment withdrawal and time of death was 36.4 h (SD=46.48). No patients in this cohort were transferred home.CONCLUSIONS: A little over 20% of patients dying in critical care demonstrate potential to be transferred home to die. Staff should actively consider the practice of transferring home as an option for care at end of life for these patients.

KW - Critical Care

KW - Humans

KW - Patient Discharge

KW - Terminal Care

KW - United Kingdom

KW - Withholding Treatment

KW - Journal Article

U2 - 10.1136/bmjspcare-2014-000834

DO - 10.1136/bmjspcare-2014-000834

M3 - Other report

C2 - 26628534

SN - 2045-435X

VL - 7

BT - Transferring patients home to die

PB - BMJ Publishing Group Limited

ER -