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%A Bruera, Sebastian; Chisholm, Gary; Dos Santos, Renata; Bruera, Eduardo; Hui, David
%T Frequency and factors associated with unexpected death in an acute palliative care unit: expect the unexpected.
%J Journal of pain and symptom management, vol. 49, no. 5, pp. 822-827
%D 05/2015
%V 49
%N 5
%M eng
%B Few studies have examined the frequency of unexpected death and its associated factors in a palliative care setting.
%P 822
%L 827
%Y 10.1016/j.jpainsymman.2014.10.011
%W PHY
%G AUTHOR
%R 2015.......49..822B

@Article{Bruera2015,
author="Bruera, Sebastian
and Chisholm, Gary
and Dos Santos, Renata
and Bruera, Eduardo
and Hui, David",
title="Frequency and factors associated with unexpected death in an acute palliative care unit: expect the unexpected.",
journal="Journal of pain and symptom management",
year="2015",
month="May",
day="11",
volume="49",
number="5",
pages="822--827",
abstract="Few studies have examined the frequency of unexpected death and its associated factors in a palliative care setting.",
issn="1873-6513",
doi="10.1016/j.jpainsymman.2014.10.011",
url="http://www.ncbi.nlm.nih.gov/pubmed/25499421",
language="eng"
}

%0 Journal Article
%T Frequency and factors associated with unexpected death in an acute palliative care unit: expect the unexpected.
%A Bruera, Sebastian
%A Chisholm, Gary
%A Dos Santos, Renata
%A Bruera, Eduardo
%A Hui, David
%J Journal of pain and symptom management
%D 2015
%8 May 11
%V 49
%N 5
%@ 1873-6513
%G eng
%F Bruera2015
%X Few studies have examined the frequency of unexpected death and its associated factors in a palliative care setting.
%U http://dx.doi.org/10.1016/j.jpainsymman.2014.10.011
%U http://www.ncbi.nlm.nih.gov/pubmed/25499421
%P 822-827

PT Journal
AU Bruera, S
   Chisholm, G
   Dos Santos, R
   Bruera, E
   Hui, D
TI Frequency and factors associated with unexpected death in an acute palliative care unit: expect the unexpected.
SO Journal of pain and symptom management
JI J Pain Symptom Manage
PD May
PY 2015
BP 822
EP 827
VL 49
IS 5
DI 10.1016/j.jpainsymman.2014.10.011
LA eng
AB Few studies have examined the frequency of unexpected death and its associated factors in a palliative care setting.
ER

PMID- 25499421
OWN - NLM
STAT- In-Process
DA  - 20150522
LR  - 20160501
IS  - 1873-6513 (Electronic)
IS  - 0885-3924 (Linking)
VI  - 49
IP  - 5
DP  - 2015 May
TI  - Frequency and factors associated with unexpected death in an acute palliative
      care unit: expect the unexpected.
PG  - 822-7
LID - 10.1016/j.jpainsymman.2014.10.011 [doi]
LID - S0885-3924(14)00893-8 [pii]
AB  - CONTEXT: Few studies have examined the frequency of unexpected death and its
      associated factors in a palliative care setting. OBJECTIVES: To determine the
      frequency of unexpected death in two acute palliative care units (APCUs); to
      compare the frequency of signs of impending death between expected and unexpected
      deaths; and to determine the predictors associated with unexpected death.
      METHODS: In this prospective, longitudinal, observational study, consecutive
      patients admitted to two APCUs were enrolled and physical signs of impending
      death were documented twice daily until discharge or death. Physicians were asked
      to complete a survey within 24 hours of APCU death. The death was considered
      unexpected if the physician answered "yes" to the question "Were you surprised by
      the timing of the death?" RESULTS: In total, 193 of 203 after-death assessments
      (95%) were collected for analysis. Nineteen of 193 patients died unexpectedly
      (10%). Signs of impending death, including non-reactive pupils, inability to
      close eyelids, decreased response to verbal stimuli, drooping of nasolabial
      folds, peripheral cyanosis, pulselessness of the radial artery, and respiration
      with mandibular movement, were documented more frequently in expected deaths than
      unexpected deaths (P < 0.05). Longer disease duration was associated with
      unexpected death (33 months vs. 12 months, P = 0.009). CONCLUSION: Unexpected
      death occurred in an unexpectedly high proportion of patients in the APCU setting
      and was associated with fewer signs of impending death. Our findings highlight
      the need for palliative care teams to be prepared for the unexpected.
CI  - Copyright (c) 2015 American Academy of Hospice and Palliative Medicine. Published
      by Elsevier Inc. All rights reserved.
FAU - Bruera, Sebastian
AU  - Bruera S
AD  - Department of Palliative Care and Rehabilitation Medicine, The University of
      Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
FAU - Chisholm, Gary
AU  - Chisholm G
AD  - Department of Biostatistics, The University of Texas M. D. Anderson Cancer
      Center, Houston, Texas, USA.
FAU - Dos Santos, Renata
AU  - Dos Santos R
AD  - Barretos Cancer Hospital, Barretos, Brazil.
FAU - Bruera, Eduardo
AU  - Bruera E
AD  - Department of Palliative Care and Rehabilitation Medicine, The University of
      Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
FAU - Hui, David
AU  - Hui D
AD  - Department of Palliative Care and Rehabilitation Medicine, The University of
      Texas M. D. Anderson Cancer Center, Houston, Texas, USA. Electronic address:
      dhui@mdanderson.org.
LA  - eng
GR  - CA 016672/CA/NCI NIH HHS/United States
GR  - R01 CA122292/CA/NCI NIH HHS/United States
GR  - R01 CA124481/CA/NCI NIH HHS/United States
GR  - R01 NR010162/NR/NINR NIH HHS/United States
GR  - R01CA122292-01/CA/NCI NIH HHS/United States
GR  - R01CA124481-01/CA/NCI NIH HHS/United States
GR  - R01NR010162-01A1/NR/NINR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20141211
PL  - United States
TA  - J Pain Symptom Manage
JT  - Journal of pain and symptom management
JID - 8605836
SB  - IM
PMC - PMC4441861
MID - NIHMS648683
OID - NLM: NIHMS648683
OID - NLM: PMC4441861
OTO - NOTNLM
OT  - Cohort studies
OT  - death
OT  - epidemiology
OT  - neoplasms
OT  - palliative care
OT  - prognosis
EDAT- 2014/12/17 06:00
MHDA- 2014/12/17 06:00
CRDT- 2014/12/16 06:00
PHST- 2014/07/05 [received]
PHST- 2014/10/03 [revised]
PHST- 2014/10/22 [accepted]
PHST- 2014/12/11 [aheadofprint]
AID - S0885-3924(14)00893-8 [pii]
AID - 10.1016/j.jpainsymman.2014.10.011 [doi]
PST - ppublish
SO  - J Pain Symptom Manage. 2015 May;49(5):822-7. doi:
      10.1016/j.jpainsymman.2014.10.011. Epub 2014 Dec 11.
TY  - JOUR
AU  - Bruera, Sebastian
AU  - Chisholm, Gary
AU  - Dos Santos, Renata
AU  - Bruera, Eduardo
AU  - Hui, David
PY  - 2015/May/11
TI  - Frequency and factors associated with unexpected death in an acute palliative care unit: expect the unexpected.
T2  - J Pain Symptom Manage
JO  - Journal of pain and symptom management
SP  - 822
EP  - 827
VL  - 49
IS  - 5
N2  - Few studies have examined the frequency of unexpected death and its associated factors in a palliative care setting.
SN  - 1873-6513
UR  - http://dx.doi.org/10.1016/j.jpainsymman.2014.10.011
UR  - http://www.ncbi.nlm.nih.gov/pubmed/25499421
ID  - Bruera2015
ER  - 
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