{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T13:35:13Z","timestamp":1777988113665,"version":"3.51.4"},"reference-count":38,"publisher":"Sociedade Brasileira de Cardiologia","issue":"12","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  A insufici\u00eancia card\u00edaca (IC) avan\u00e7ada apresenta elevada morbidade e mortalidade, comprometendo a funcionalidade e a qualidade de vida de pacientes e familiares. Hospitaliza\u00e7\u00f5es elevam a gravidade, especialmente quando requerem terapia inotr\u00f3pica. Os cuidados paliativos (CP) auxiliam a lidar com o sofrimento causado por doen\u00e7as graves, mas s\u00e3o pouco realizados na cardiologia.  Objetivo  avaliar a integra\u00e7\u00e3o dos CP na abordagem de pacientes com IC descompensada, identificando possibilidades de melhoria assistencial.  M\u00e9todo  estudo unic\u00eantrico, retrospectivo, observacional, realizado entre fevereiro\/2015 e maio\/2018, com pacientes com IC em terapia inotr\u00f3pica. Analisaram-se os encaminhamentos para CP, a abordagem da equipe de interconsulta e os desfechos, com an\u00e1lise de sobrevida em 5 anos. N\u00edvel de signific\u00e2ncia estat\u00edstica: 5%.  Resultados  Foram inclu\u00eddos 492 pacientes, 66,9% do g\u00eanero masculino, mediana de idade de 63 anos (IQ 52-72). O referenciamento para CP ocorreu em 23% da amostra, com mediana de 8,0 dias (IQ 4,0-20) antes do \u00f3bito. Somente 14% dos pacientes em terapia intensiva foram referenciados. Nenhum paciente transplantado recebeu assist\u00eancia paliativa. Pacientes atendidos pela equipe de CP foram mais envolvidos na tomada de decis\u00e3o e mais frequentemente receberam opioides para manejo de sintomas do que os atendidos exclusivamente por cardiologistas (p&lt;0,01). A mortalidade hospitalar e em 5 anos foi de 42% e 80%, respectivamente.  Conclus\u00f5es  Pacientes em descompensa\u00e7\u00e3o de IC apresentam alta mortalidade e s\u00e3o pouco encaminhados para CP, geralmente nos \u00faltimos dias de vida, o que reduz os benef\u00edcios dessa abordagem. \u00c9 necess\u00e1rio maior educa\u00e7\u00e3o m\u00e9dica em CP e o desenvolvimento de estrat\u00e9gias para aumentar essa integra\u00e7\u00e3o, o que pode resultar em melhores desfechos.<\/jats:p>","DOI":"10.36660\/abc.20250188","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T18:04:31Z","timestamp":1770314671000},"source":"Crossref","is-referenced-by-count":0,"title":["Cuidados Paliativos na Insufici\u00eancia Card\u00edaca Descompensada com Necessidade de Terapia Inotr\u00f3pica: Oportunidades de Integra\u00e7\u00e3o para Melhoria dos Desfechos"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0150-5361","authenticated-orcid":false,"given":"Daniel Battacini Dei","family":"Santi","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9413-3792","authenticated-orcid":false,"given":"Mucio Tavares de","family":"Oliveira Jr","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Tavares de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"17","key":"ref1","doi-asserted-by":"crossref","first-page":"3272","DOI":"10.1093\/cvr\/cvac013","article-title":"Global Burden of Heart Failure: A Comprehensive and Updated Review of Epidemiology","volume":"118","author":"Savarese G","year":"2023","journal-title":"Cardiovasc 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