Brennan MR, Thomas L, Kline M, et al.
The American journal of hospice & palliative care. Date of publication 2019 Nov 1;volume 36(11):1016-1019.
1. Am J Hosp Palliat Care. 2019 Nov;36(11):1016-1019. doi: 10.1177/1049909119838969.
Epub 2019 Apr 16.
Prelude to Death or Practice Failure? Trombley-Brennan Terminal Tissue Injury
Update.
Brennan MR(1), Thomas L(2), Kline M(3).
Author information:
(1)1 North Shore University Hospital, Manhasset, NY, USA.
(2)2 VP System Nursing Research, Institute for Nursing, Northwell Health, New
Hyde Park, NY, USA.
(3)3 Biostatistics Unit, Feinstein Institute for Medical Research, Northwell
Health, Manhasset, NY, USA.
In 2012, we published a study in this journal exploring the emergence of unique
skin changes in end-of-life patients admitted to a palliative care unit. The
purpose of the study was to describe the skin changes and identify the
relationship between these changes and time of death. In the above study of 80
patients, the skin changes were found to be unique and different from Kennedy
terminal ulcers and deep tissue injuries. Median time from identification of skin
changes and death was 36 hours. The phenomenon was named as Trombley-Brennan
terminal tissue injury. The current article presents findings that include the
study of additional 86 patients. The results further validate the phenomenon and
its relationship with time of death.
DOI: 10.1177/1049909119838969
PMID: 30991821 [Indexed for MEDLINE]