Multicenter Evaluation of 434 Hospital Deaths From COVID-19: How Can We Improve End-of-Life Care During a Pandemic?

Context: The pandemic has substantially increased the workload of hospital palliative care providers, requiring them to be responsive and innovative despite limited information on the specific end of life care needs of patients with COVID-19. Multi-site data detailing clinical characteristics of patient deaths from large populations, managed by specialist and generalist palliative care providers are lacking.

Objectives: To conduct a large multicenter study examining characteristics of COVID-19 hospital deaths and implications for care.

Integrating palliative care into national health systems in Africa: a multi-country intervention study.

Background: The WHO is calling for the integration of palliative care in all health care settings globally.

Methods: A 3.5-year program was implemented in 12 government hospitals, three each in Kenya, Rwanda, Uganda and Zambia.