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
em Ko
| WPRIM
| ID: wpr-46980
Biblioteca responsável:
WPRO
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.
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WPRIM
Assunto principal:
Respiração Artificial
/
Assistência Terminal
/
Envelhecimento
/
Modelos Logísticos
/
Prontuários Médicos
/
Estudos Retrospectivos
/
Cuidados Críticos
/
Tomada de Decisões
/
Diálise
/
Emergências
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Humans
País/Região como assunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Hospice and Palliative Care
Ano de publicação:
2015
Tipo de documento:
Article