Comparison of End-of-Life Care Intensity between Cancer and Non-cancer Patients: a Single Center Experience / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
;
: 322-328, 2015.
Article
in Korean
| WPRIM
| ID: wpr-46980
ABSTRACT
PURPOSE:
The aging of society has rapidly progressed, especially in Korea. Therefore, the necessity of research on end-of-life (EOL) care in elderly patients has increased. However, there are few studies on EOL care intensity for non-cancer patients. This study was designed to compare the EOL care intensity between cancer and non-cancer patients.METHODS:
We retrospectively analyzed the EOL care intensity based on medical records of decedents of Kyung Hee University Medical Center, a tertiary referral hospital from December 2014 through March 2015. And we compared EOL care intensity between cancer patients and non-cancer patients using statistical analysis of the frequency of invasive procedures and logistic regression analysis for factors that affect the EOL care intensity.RESULTS:
Statistical analysis showed invasive procedures, such as intensive care unit admission, endotracheal intubation followed by mechanical ventilation and emergency dialysis, were performed more frequently in non-cancer patients than cancer patients (29.3% vs. 72.4%, P<0.001). And age (P=0.038) and morbidity of cancer (P<0.001) influenced the invasive procedural decision when analyzed by logistic regression analysis.CONCLUSION:
The EOL care was more intensive in non-cancer patients, and age and morbidity of cancer were major factors for the treatment intensity.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiration, Artificial
/
Terminal Care
/
Aging
/
Logistic Models
/
Medical Records
/
Retrospective Studies
/
Critical Care
/
Decision Making
/
Dialysis
/
Emergencies
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Hospice and Palliative Care
Year:
2015
Type:
Article
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