Palliative Care in Acute Heart Failure.
Palliative Care in Acute Heart Failure.
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DOI：
10.1007/s11897-020-00494-8
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发表时间：
2020-12
影响因子：
--
通讯作者：
McDonagh TA
中科院分区：
文献类型：
--
作者：
Beattie JM;Higginson IJ;McDonagh TA
人们越来越认识到姑息治疗对于支持心力衰竭患者和家庭是有益的，但政策文件普遍关注这种疾病的慢性形式。我们根据最近更新的国家高质量姑息治疗共识项目临床实践指南，研究了为急性心力衰竭患者提供的姑息治疗。急性心力衰竭是 65 岁以上人群住院的最常见原因，它描绘了不可预测的疾病轨迹上的危机点。姑息治疗未得到充分利用，通常被认为仅限于临终关怀，而不是通过定期系统需求评估来确定。与该临床队列相关的新生证据基础中尚未出现姑息治疗提供的主导范式，这强调了进一步研究的必要性。从诊断的角度将姑息支持作为心力衰竭治疗的主流可能会更好地确保急性心力衰竭患者的治疗策略与患者的偏好和价值观保持一致。
Palliative care is increasingly acknowledged as beneficial in supporting patients and families affected by heart failure, but policy documents have generally focused on the chronic form of this disease. We examined palliative care provision for those with acute heart failure, based on the recently updated National Consensus Project Clinical Practice Guidelines for Quality Palliative Care. The commonest reason for hospitalization in those > 65 years, acute heart failure admissions delineate crisis points on the unpredictable disease trajectory. Palliative care is underutilized, often perceived as limited to end-of-life care rather than determined by regular systematic needs assessment. No dominant paradigm of palliative care provision has emerged from the nascent evidence base related to this clinical cohort, underscoring the need for further research. Embedding palliative support as mainstream to heart failure care from the point of diagnosis may better ensure treatment strategies for those admitted with acute heart failure remain consistent with patients’ preferences and values.
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影响因子：
--
作者：
Cross, Sarah H;Kamal, Arif H;Warraich, Haider J
通讯作者：
Warraich, Haider J
范式-HF中与痴呆相关的不良事件和其他心力衰竭的试验，射血分数降低。
影响因子：
18.2
作者：
Cannon JA;Shen L;Jhund PS;Kristensen SL;Køber L;Chen F;Gong J;Lefkowitz MP;Rouleau JL;Shi VC;Swedberg K;Zile MR;Solomon SD;Packer M;McMurray JJ;PARADIGM-HF Investigators and Committees
通讯作者：
PARADIGM-HF Investigators and Committees
影响因子：
13
作者：
Butler, Javed;Binney, Zachary;Quest, Tammie
通讯作者：
Quest, Tammie
影响因子：
2.8
作者：
Arestedt, Kristofer;Alvariza, Anette;Brannstrom, Margareta
通讯作者：
Brannstrom, Margareta
影响因子：
5.7
作者：
Cleland, John G. F.;McDonagh, Theresa;Dargie, Henry J.
通讯作者：
Dargie, Henry J.