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Outpatient Palliative Cardiology Service Embedded Within a Heart Failure Clinic: Experiences With an Emerging Model

Benjamin Gandesbery1, Krista Dobbie2, Eiran Z Gorodeski3

  • 11 Case Western Reserve University School of Medicine, Cleveland, OH, USA.

The American Journal of Hospice & Palliative Care
|September 7, 2017
PubMed

Insights

Outpatient palliative care is feasible for heart failure (HF) patients, addressing significant symptoms like tiredness and pain. This specialized care may improve quality of life for those with chronic HF.

Area of Science:

  • Cardiology
  • Palliative Medicine
  • Symptom Management

Background:

  • Palliative care consultation's role in outpatient symptomatic heart failure (HF) is understudied.
  • An integrated outpatient palliative care service within an HF clinic was established in August 2015.

Purpose of the Study:

  • Characterize patients managed by an outpatient palliative cardiology service.
  • Analyze HF severity, symptoms, comorbidities, addressed topics, palliative treatments, advanced directives, and mortality.

Main Methods:

  • Retrospective chart review of patients evaluated by the outpatient palliative cardiology service.

Main Results:

  • Eighty patients attended 229 outpatient encounters.
  • Common symptoms included tiredness (74%), pain (64%), and dyspnea (57%).
  • Key interventions focused on pain management (55%) and advanced care planning (54%); 1-year survival was 70%.

Conclusions:

  • Embedding palliative medicine in outpatient HF clinics is feasible.
  • Patients experience significant symptom burden, benefiting from palliative interventions.
  • Outpatient palliative care shows potential for managing chronic HF patients' quality of life.
Abstract

Keywords:
cardiologyheart failurepain managementpalliative cardiologypalliative caresupportive care

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