{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:25:25Z","timestamp":1777929925284,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The coronavirus disease 2019 (COVID-19) pandemic resulted in complex physical and psychosocial symptom burden at end of life. The benefit of specialist palliative care input in other disease states has been established, however, there is little evidence on referral patterns to these services in patients dying from COVID-19.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This retrospective audit investigated the referral patterns for patients who died from COVID-19 at a quaternary hospital in South Australia (the Royal Adelaide Hospital) over a six-month period in 2022, and whether demographic features or COVID-19 specific factors had an impact on whether these patients received specialist palliative care services (PCS). The second aim was to identify prescription patterns for patients in the last 24 hours of life, and whether this was impacted by referral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Data were obtained from electronic medical records and analyzed using binary logistic regressions for referral to PCS versus no referral based on various predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was no significant difference comparing patient demographics or COVID-19 specific factors with referral to PCS. There was statistical significance between patients who received referral to PCS and those who had a higher oral morphine equivalent daily dose (OMEDD) in the 24 hours before death, as well as the presence of a continuous subcutaneous infusion. Although the cause of this relationship is undetermined, it may represent the prescription patterns of the palliative care physicians during consultation or potentially higher symptom burden prompting referral. There was also a higher proportion of patients who received hydromorphone compared with other opioids, though the OMEDD was consistent with other published literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/pmr.2023.0069","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T14:49:43Z","timestamp":1704466183000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["COVID-19 and End of Life in a Quaternary Australian Hospital: Referral for Palliative Care Consultation"],"prefix":"10.1177","volume":"5","author":[{"given":"Chelsea","family":"Patterson","sequence":"first","affiliation":[{"name":"Central Adelaide Palliative Care Services, Adelaide, South Australia, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Foreman","sequence":"additional","affiliation":[{"name":"Central Adelaide Palliative Care Services, Adelaide, South Australia, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"WHO Coronavirus (COVID-19) Dashboard. World Health Organisation; 2023. Available from: https:\/\/covid19.who.int [Last accessed: June8 2023]."},{"issue":"1","key":"e_1_3_5_3_2","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1186\/s12874-021-01314-w","article-title":"Estimating age-specific COVID-19 fatality risk and time to death by comparing population diagnosis and death patterns: Australian data","volume":"21","author":"Marschner IC","year":"2021","unstructured":"Marschner IC. Estimating age-specific COVID-19 fatality risk and time to death by comparing population diagnosis and death patterns: Australian data. 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ABS: Canberra; 2019\u20132020. Available from: https:\/\/www.abs.gov.au\/statistics\/people\/population\/migration-australia\/2019-20 [Last accessed: June8 2023]."},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320935361"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2004.02.021"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2019.06.014"},{"key":"e_1_3_5_20_2","unstructured":"SA Health. Prescribing Guidelines for the Pharmacological Management of Symptoms for Adults in the Last Days of Life. SA Health: Adelaide SA; 2019."},{"issue":"1","key":"e_1_3_5_21_2","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1186\/s12904-021-00785-4","article-title":"Symptoms, symptom relief and support in COVID-19 patients dying in hospitals during the first pandemic wave","volume":"20","author":"Martinsson L","year":"2021","unstructured":"Martinsson L, , Bergstr\u00f6m J, , Hedman C, et al. Symptoms, symptom relief and support in COVID-19 patients dying in hospitals during the first pandemic wave. BMC Palliative Care, 2021; 20(1):102.","journal-title":"BMC Palliative Care"},{"issue":"4","key":"e_1_3_5_22_2","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1136\/bmjspcare-2020-002368","article-title":"Symptom burden and clinical profile of COVID-19 deaths: A rapid systematic review and evidence summary","volume":"10","author":"Paul K","year":"2020","unstructured":"Paul K, , Deans B, , Clare C, et al. Symptom burden and clinical profile of COVID-19 deaths: A rapid systematic review and evidence summary. 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