Evaluation of a New Triage Protocol for Palliative Care for Patients with COVID-19 in Brazil

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. A retrospective observational study was conducted. Based on the triage protocol, patients were classified into a red group, a yellow group, and a gre...

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Bibliographic Details
Published in:	Journal of palliative medicine Vol. 26; no. 2; p. 253
Main Authors:	Loyola Correa, Tulio, Salomão Simão, Áurea Maria, Barros Sobreira, Joyce Veceli, Baeninger Anbar, Fernanda, Yarshell, Flávia, Brandão, Ana Beatriz, Queirós Estuque, Monica, Aparecida Rocha, Juraci, Tavares de Carvalho, Ricardo
Format:	Journal Article
Language:	English
Published:	United States 01-02-2023
Subjects:	Brazil COVID-19 Humans Palliative Care - methods Pandemics Retrospective Studies Triage - methods Brazil COVID-19 quality of health care terminal care medical assistance palliative care pandemics
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Summary:	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. 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. A total of 1517 patients were included in the analysis. About 11% ( = 162) of patients received PC. About 35% ( = 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. 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.
ISSN:	1557-7740
DOI:	10.1089/jpm.2022.0324