Palliative Care Involvement in Patients with Operative Mortality After Cardiac Surgery

Authors

  • Hayden S. Leeds, BA Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR, USA
  • Danielle A. Smith, MD Cardiac Surgery Section, Operative Care Division, Portland Veterans Affairs Medical Center, Portland, OR, USA

DOI:

https://doi.org/10.1532/hsf.3255

Keywords:

cardiac surgery, palliative care, operative mortality

Abstract

Background: The aim of this study was to examine palliative care involvement in patients with operative mortality after cardiac surgery, to gain a better understanding of this high-risk population and factors influencing referral.

Methods: This is a retrospective review using data submitted to the Society of Thoracic Surgeons National Database.

Results: The total study population included 93 patients with operative mortality, only 30% of whom had palliative care involvement. The median time from first palliative care involvement to death was 6 days. Nearly 40% of patients had a status labeled as elective at the time of surgery.

Conclusion: Our findings suggest that patient mortality risk for elective surgery is being underestimated, or the indications for palliative care consultation in high-risk patients is going unrecognized. Such knowledge may facilitate earlier palliative care involvement, with the goal of improved quality of life for cardiac patients.

References

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Published

2020-10-19

How to Cite

Leeds, H., & Smith, D. (2020). Palliative Care Involvement in Patients with Operative Mortality After Cardiac Surgery. The Heart Surgery Forum, 23(6), E789-E792. https://doi.org/10.1532/hsf.3255

Issue

Section

Articles