{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:08:04Z","timestamp":1777918084675,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,8,14]],"date-time":"2020-08-14T00:00:00Z","timestamp":1597363200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,8,14]],"date-time":"2020-08-14T00:00:00Z","timestamp":1597363200000},"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":["Palliat Med"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients hospitalised with COVID-19 have increased morbidity and mortality, which requires extensive involvement of specialist Hospital Palliative Care Teams. Evaluating the response to the surge in demand for effective symptom management can enhance provision of Palliative Care in this patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To characterise the symptom profile, symptom management requirements and outcomes of hospitalised COVID-19 positive patients referred for Palliative Care, and to contextualise Palliative Care demands from COVID-19 against a \u2018typical\u2019 caseload from 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Service evaluation based on a retrospective cohort review of patient records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>One large health board in Scotland. Demographic data, patient symptoms, drugs\/doses for symptom control, and patient outcomes were captured for all COVID-19 positive patients referred to Hospital Palliative Care Teams between 30th March and 26th April 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Our COVID-19 cohort included 186 patients (46% of all referrals). Dyspnoea and agitation were the most prevalent symptoms (median 2 symptoms per patient). 75% of patients were prescribed continuous subcutaneous infusion for symptom control, which was effective in 78.6% of patients. Compared to a \u2018typical\u2019 caseload, the COVID-19 cohort were on caseload for less time (median 2 vs 5\u2009days;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and had a higher death rate (80.6% vs 30.3%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The COVID-19 cohort replaced \u2018typical\u2019 caseload; overall numbers of referrals were not increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Hospitalised COVID-19 positive patients referred for Palliative Care may have a short prognosis, differ from \u2018typical\u2019 caseload, and predominantly suffer from dyspnoea and agitation. Such symptoms can be effectively controlled with standard doses of opioids and benzodiazepines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269216320949786","type":"journal-article","created":{"date-parts":[[2020,8,14]],"date-time":"2020-08-14T11:43:41Z","timestamp":1597405421000},"page":"1256-1262","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":43,"title":["COVID-19 and Hospital Palliative Care \u2013 A service evaluation exploring the symptoms and outcomes of 186 patients and the impact of the pandemic on specialist Hospital Palliative Care"],"prefix":"10.1177","volume":"34","author":[{"given":"Lucy","family":"Hetherington","sequence":"first","affiliation":[{"name":"Hospital Palliative Care Team, Queen Elizabeth University Hospital, Glasgow, NHS Greater Glasgow and Clyde, Glasgow, UK"},{"name":"Prince and Princess of Wales Hospice, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4051-3436","authenticated-orcid":false,"given":"Bridget","family":"Johnston","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK"},{"name":"NHS Greater Glasgow and Clyde, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grigorios","family":"Kotronoulas","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Finlay","sequence":"additional","affiliation":[{"name":"Hospital Palliative Care Team, Queen Elizabeth University Hospital, Glasgow, NHS Greater Glasgow and Clyde, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Keeley","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK"},{"name":"Hospital Palliative Care Team, Glasgow Royal Infirmary, Glasgow NHS Greater Glasgow and Clyde, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair","family":"McKeown","sequence":"additional","affiliation":[{"name":"Hospital Palliative Care Team, Queen Elizabeth University Hospital, Glasgow, NHS Greater Glasgow and Clyde, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,14]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization. WHO Director-General\u2019s opening remarks at the media briefing on COVID-19 - 3 March 2020 https:\/\/www.who.int\/dg\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19\u20143-march-2020"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1985"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30964-8"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1191\/0269216304pm859oa"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.03.029"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.015"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16507"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.031."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckr136"},{"key":"e_1_3_2_12_2","unstructured":"Scottish Palliative Care Guidelines. End of Life Care Guidance when a Person is Imminently Dying from COVID-19 Lung Disease. 2020 https:\/\/www.palliativecareguidelines.scot.nhs.uk\/guidelines\/symptom-control\/end-of-life-care-guidance-when-a-person-is-imminently-dying-from-covid-19-lung-disease.aspx"},{"key":"e_1_3_2_13_2","unstructured":"Association for Palliative Medicine of Great Britain and Ireland. COVID-19 and Palliative End of Life and Bereavement Care in Secondary Care: Role of the specialty and guidance to aid care. 2020 https:\/\/www.pslhub.org\/learn\/coronavirus-covid19\/tips\/covid-19-and-palliative-end-of-life-and-bereavement-care-in-secondary-care-role-of-the-specialty-and-guidance-to-aid-care-r1963\/"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320935361."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1209.05-0979"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216320949786","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269216320949786","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269216320949786","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:30:27Z","timestamp":1777660227000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269216320949786"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,14]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1177\/0269216320949786"],"URL":"https:\/\/doi.org\/10.1177\/0269216320949786","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,14]]}}}