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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.
Artigo em Coreano | 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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Respiração Artificial / Assistência Terminal / Envelhecimento / Modelos Logísticos / Prontuários Médicos / Estudos Retrospectivos / Cuidados Críticos / Tomada de Decisões / Diálise / Emergências Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Humanos País/Região como assunto: Ásia Idioma: Coreano Revista: Korean Journal of Hospice and Palliative Care Ano de publicação: 2015 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Respiração Artificial / Assistência Terminal / Envelhecimento / Modelos Logísticos / Prontuários Médicos / Estudos Retrospectivos / Cuidados Críticos / Tomada de Decisões / Diálise / Emergências Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Idoso / Humanos País/Região como assunto: Ásia Idioma: Coreano Revista: Korean Journal of Hospice and Palliative Care Ano de publicação: 2015 Tipo de documento: Artigo