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Clinical Characteristics of Oncologic Patients with DNR Decision at a Tertiary Hospital / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care ; : 26-33, 2016.
Article Dans Coréen | WPRIM | ID: wpr-109548
ABSTRACT

PURPOSE:

This study was conducted to identify clinical characteristics of oncologic patients at a point when they signed their do-not-resuscitate (DNR) orders.

METHODS:

From January through December 2014, we retrospectively analyzed the records of 197 patients who passed away after agreeing to a DNR order in the hemato-oncology department of a tertiary hospital.

RESULTS:

Of all, 121 patients (61.4%) were male and 76 (38.6%) were female, and their average age was 58.7 years. Ninety-four patients (47.7%) had gastrointestinal cancer. The ECOG performance status at admission was grade 3 in 76 patients (36.5%) and grade 4 in 11 (5.6%). The patients' mean hospital stay was 20 days. The mean duration from the admission to DNR decision was 13 days, and the mean duration from DNR decision to death was seven days.

CONCLUSION:

Study results indicate that a decision on signing or refusing a DNR order was made by medical staff mostly based on the opinions of patients' guardians rather than the patients themselves. This suggests that patients' own wishes are not well respected. Thus, it is urgent to establish institutional devices to enhance cancer patients' autonomy regarding DNR and to define an adequate timing for withdrawal of treatments.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Soins terminaux / Études rétrospectives / Ordres de réanimation / Accompagnement de la fin de la vie / Malades en phase terminale / Centres de soins tertiaires / Tumeurs gastro-intestinales / Durée du séjour / Corps médical Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Femelle / Humains / Mâle langue: Coréen Texte intégral: Korean Journal of Hospice and Palliative Care Année: 2016 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Soins terminaux / Études rétrospectives / Ordres de réanimation / Accompagnement de la fin de la vie / Malades en phase terminale / Centres de soins tertiaires / Tumeurs gastro-intestinales / Durée du séjour / Corps médical Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Femelle / Humains / Mâle langue: Coréen Texte intégral: Korean Journal of Hospice and Palliative Care Année: 2016 Type: Article