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Evaluation of a New Triage Protocol for Palliative Care for Patients with COVID-19 in Brazil
Tulio Correa1,2, Áurea Maria Salomão Simão2,3, Joyce Veceli Barros Sobreira2,4
1Faculty of Medicine, Universidade Federal de Pelotas, Pelotas, Brazil.
Abstract:
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% (n = 162) of patients received PC. About 35% (n = 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.
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