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Retrospective Cohort Study on the Administration of Sedative for Delirium in Terminally Ill Cancer Patients and Survival Time / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care ; : 119-126, 2016.
Artículo en Coreano | WPRIM | ID: wpr-77219
ABSTRACT

PURPOSE:

This study analyzed the difference in survival time of patients with delirium according to sedative medication.

METHODS:

From January 2012 through December 2013, a retrospective cohort study was performed using the electronic medical records (EMR) of Pusan National University Hospital. Among 900 patients who died from cancer, we selected 240 who suffered delirium based on the EMR. The Nu-DESC delirium screening test was used to diagnose delirium.

RESULTS:

The median length of delirium period was five days. Delirium characteristics were dominated by inappropriate behaviors (35.0%). Sedatives were administered in 72.1% of the cases. The most frequently used sedative was haloperidol which was used in 59.6% of cases. The delirium period significantly differed by patients' age (F=3.96, P=0.021), cancer type (F=3.31, P=0.010), chemotherapy (t=−3.44 P=0.001). The average survival time was 16.85 days for the sedative medication group and 9.37 days for the non-medication group, which, however, was not significant (t=1.766, P=0.079).

CONCLUSION:

In this study, the use of sedatives did not affect patients' survival time. Thus, appropriate sedative medication can be positively recommended to comfort terminal cancer patients and their families.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Tamizaje Masivo / Tasa de Supervivencia / Estudios Retrospectivos / Estudios de Cohortes / Enfermo Terminal / Delirio / Quimioterapia / Registros Electrónicos de Salud / Haloperidol / Hipnóticos y Sedantes Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo / Estudio de tamizaje Límite: Humanos Idioma: Coreano Revista: Korean Journal of Hospice and Palliative Care Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Tamizaje Masivo / Tasa de Supervivencia / Estudios Retrospectivos / Estudios de Cohortes / Enfermo Terminal / Delirio / Quimioterapia / Registros Electrónicos de Salud / Haloperidol / Hipnóticos y Sedantes Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo / Estudio de tamizaje Límite: Humanos Idioma: Coreano Revista: Korean Journal of Hospice and Palliative Care Año: 2016 Tipo del documento: Artículo