A Hospice and Palliative Care Bed Dedicated to Patients Admitted to the Emergency Department for End-of-Life Care

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Journal of Hospice and Palliative Medicine.
  1. Pierre Lafond, MD1
  2. E. Chalayer, MD1
  3. M. Roussier, MD2
  4. E. Weber1,*
  5. Q. Lacoin-Reynaud, MD1
  6. B. Tardy, MD, PhD1,3

  1. 1Intensive Care Unit, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne Cedex 2, France

  2. 2Palliative Care Unit, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne Cedex 2, France

  3. 3Inserm CIE3, Centre Hospitalier Universitaire de Saint-Etienne, France, Saint-Etienne Cedex 2, France

  4. *Interne
  1. Pierre Lafond, MD, Urgences et Réanimation Médicale, CHU de Saint-Etienne, 42055 Saint-Etienne Cedex 2, France. Email: pierre.lafond{at}chu-st-etienne.fr

Abstract

A hospice and palliative care (PC) bed was created in 2006, located within a quiet area of our intensive care unit, in order to admit terminally ill patients sent to the emergency department (ED) for end-of-life care. We retrospectively analyze the records of the 342 terminally ill patients sent to the ED from 2007 to 2011. Among them, 176 (51.5%) were admitted to our hospice and PC bed, where 114 died. Besides, 99 (28.9%) of them died on stretchers in the ED. Our intervention led to a significant decrease in the number of terminally ill patients dying on stretchers in the ED. It also allowed both patients and families to have access to a more suitable environment.

Article Notes

  • Declaration of Conflicting Interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

  • Funding The authors received no financial support for the research, authorship, and/or publication of this article.

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