TY - JOUR
T1 - End-of-Life Care for Seriously Ill International Patients at a Global Destination Medical Center
AU - Partain, Daniel K.
AU - Sanders, Justin J.
AU - Leiter, Richard E.
AU - Carey, Elise C.
AU - Strand, Jacob J.
N1 - Funding Information:
Grant Support: This research was partially supported by the Center for Translational Science Activities at Mayo Clinic. This center is funded in part by grant RR024150 from the National Center for Research Resources, a component of the National Institutes of Health. Dr Sanders receives funding from the Cambia Health Foundation through the Sojourn Scholars Program. The contents are solely the responsibility of the authors and do not necessarily represent the official views of the Center for Translational Science Activities, National Center for Research Resources, or National Institutes of Health.
Publisher Copyright:
© 2018 Mayo Foundation for Medical Education and Research
PY - 2018/12
Y1 - 2018/12
N2 - Objective: To characterize the end-of-life care of all international patients who died at a global destination medical center from January 1, 2005, through December 31, 2015. Patients and Methods: We performed a retrospective review of all adult international patients who died at a global destination medical center from January 1, 2005, through December 31, 2015. Results: Eighty-two international patients from 25 countries and 5 continents died during the study period (median age, 59.5 years; 59% male). Of the study cohort, 11% (n=9) completed an advance directive, 61% (n=50) died in the intensive care unit, 26% (n=21) had a full code order at the time of death, and 73% (n=19 of 26) receiving cardiopulmonary resuscitation did not survive the resuscitation process. Conclusion: Seriously ill international patients who travel to receive health care in the United States face many barriers to receiving high-quality end-of-life care. Seriously ill international patients are coming to the United States in increasing numbers, and little is known about their end-of-life care. There are many unique needs in the care of this complex patient population, and further research is needed to understand how to provide high-quality end-of-life care to these patients.
AB - Objective: To characterize the end-of-life care of all international patients who died at a global destination medical center from January 1, 2005, through December 31, 2015. Patients and Methods: We performed a retrospective review of all adult international patients who died at a global destination medical center from January 1, 2005, through December 31, 2015. Results: Eighty-two international patients from 25 countries and 5 continents died during the study period (median age, 59.5 years; 59% male). Of the study cohort, 11% (n=9) completed an advance directive, 61% (n=50) died in the intensive care unit, 26% (n=21) had a full code order at the time of death, and 73% (n=19 of 26) receiving cardiopulmonary resuscitation did not survive the resuscitation process. Conclusion: Seriously ill international patients who travel to receive health care in the United States face many barriers to receiving high-quality end-of-life care. Seriously ill international patients are coming to the United States in increasing numbers, and little is known about their end-of-life care. There are many unique needs in the care of this complex patient population, and further research is needed to understand how to provide high-quality end-of-life care to these patients.
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U2 - 10.1016/j.mayocp.2018.08.020
DO - 10.1016/j.mayocp.2018.08.020
M3 - Article
C2 - 30522592
AN - SCOPUS:85056817034
SN - 0025-6196
VL - 93
SP - 1720
EP - 1727
JO - Mayo Clinic proceedings
JF - Mayo Clinic proceedings
IS - 12
ER -