{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:21:03Z","timestamp":1777922463702,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Objective: This study aimed to survey the practice of palliative sedation in Portugal, where data on this subject were lacking. Methods: This was a prospective multicentric study that included all patients admitted to each team that agreed to participate. Patients were followed until death, discharge, or after 3 months of follow-up. Results: The study included 8 teams: 4 as palliative care units (PCU), 1 as a hospital palliative care team (HPCT), 2 as home care (HC), and 1 as HPCT and HC. Of the 361 patients enrolled, 52% were male, the median age was 76 years, and 285 (79%) had cancer. Continuous sedation was undergone by 49 (14%) patients: 26 (53%) were male, and the median age was 76. Most patients, 46 (94%), had an oncological diagnosis. Only in a minority of cases, the family, 16 (33%), or the patient, 5 (10%), participated in the decision to sedate. Delirium was the most frequent symptom leading to sedation. The medication most used was midazolam (65%). In the multivariable analysis, only age and the combined score were independently associated with sedation; patients &lt;76 years and those with higher levels of suffering had a higher probability of being sedated. Conclusions: The practice of continuous palliative sedation in Portugal is within the range reported in other studies. One particularly relevant point was the low participation of patients and their families in the decision-making process. Each team must have a deep discussion on this aspect.<\/jats:p>","DOI":"10.1177\/08258597241256874","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T03:32:50Z","timestamp":1716607970000},"page":"72-78","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Continuous Sedation in Palliative Care in Portugal: A Prospective Multicentric Study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9506-7106","authenticated-orcid":false,"given":"Jos\u00e9 Ant\u00f3nio","family":"Ferraz-Gon\u00e7alves","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Porto University, Porto, Portugal"}]},{"given":"Alice","family":"Flores","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Unidade Local de Sa\u00fade do Nordeste, Macedo de Cavaleiros, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7894-4697","authenticated-orcid":false,"given":"Ana Abreu","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Servi\u00e7o de Sa\u00fade da Regi\u00e3o Aut\u00f3noma da Madeira (SESARAM), Funchal, Portugal"}]},{"given":"Ana","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Hospital Palliative Care Team and Home Care Unit, Portuguese Oncology Institute of Lisbon, Lisbon, Portugal"}]},{"given":"Carmen","family":"Pais","sequence":"additional","affiliation":[{"name":"Clinical Academic Center of Tr\u00e1s-os-Montes and Alto Douro \u2013 Professor Doctor Nuno Grande \u2013 CACTMAD, Vila Real, Portugal"}]},{"given":"Clarisse","family":"Melo","sequence":"additional","affiliation":[{"name":"Community Team of Palliative Care, ACES Lisboa Ocidental e Oeiras, Lisbon, Portugal"}]},{"given":"Diana","family":"Pirra","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Hospital Santa Luzia, Elvas, Portugal"}]},{"given":"Dora","family":"Coelho","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Centro Hospitalar Universit\u00e1rio do Algarve, Faro, Portugal"}]},{"given":"L\u00edlia","family":"Conde","sequence":"additional","affiliation":[{"name":"Community Team of Palliative Care, Maia\/Valongo, Portugal"}]},{"given":"Lorena","family":"Real","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Hospital Santa Luzia, Elvas, Portugal"}]},{"given":"Madalena","family":"Feio","sequence":"additional","affiliation":[{"name":"Hospital Palliative Care Team and Home Care Unit, Portuguese Oncology Institute of Lisbon, Lisbon, Portugal"}]},{"given":"Manuel","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Community Team of Palliative Care, Maia\/Valongo, Portugal"}]},{"given":"Maria de Lurdes","family":"Martins","sequence":"additional","affiliation":[{"name":"Clinical Academic Center of Tr\u00e1s-os-Montes and Alto Douro \u2013 Professor Doctor Nuno Grande \u2013 CACTMAD, Vila Real, Portugal"}]},{"given":"Marlene","family":"Areias","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Unidade Local de Sa\u00fade do Nordeste, Macedo de Cavaleiros, Portugal"}]},{"given":"Rafael","family":"Mu\u00f1oz-Romero","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Centro Hospitalar Universit\u00e1rio do Algarve, Faro, Portugal"}]},{"given":"Rita Cunha","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Community Team of Palliative Care, ACES Lisboa Ocidental e Oeiras, Lisbon, Portugal"}]},{"given":"Susete","family":"Freitas","sequence":"additional","affiliation":[{"name":"Department of Palliative Care, Servi\u00e7o de Sa\u00fade da Regi\u00e3o Aut\u00f3noma da Madeira (SESARAM), Funchal, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2024,5,25]]},"reference":[{"key":"bibr1-08258597241256874","unstructured":"World Health Organization. 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