Impact of the Regional Palliative Care Pathway on Emergency Room Visits and Hospitalizations.
Anticancer Res
; 41(3): 1701-1706, 2021 Mar.
Article
de En
| MEDLINE
| ID: mdl-33788768
ABSTRACT
BACKGROUND/AIM:
To explore the effect of palliative care (PC) pathway including home care and end-of-life care beds in the community hospitals supported by a PC unit in the secondary hospital on ER visits and hospitalizations. PATIENTS ANDMETHODS:
Patients with advanced cancer and no further oncologic therapies who visited the ER of the Hyvinkää hospital before (2009) and after (2015) the establishment of the PC pathway were evaluated.RESULTS:
A total of 112 patients visited the ER in both years, but revisits decreased from 59% to 38% (p<0.01). The most common symptoms necessitating the visit were pain (20%) and dyspnoea (14%). The proportion of patients admitted to a secondary hospital were 56% and 45% (p=0.016) and to community hospitals 12% and 28% (p<0.001) in 2009 and 2015, respectively.CONCLUSION:
Organizing a PC pathway for cancer patients together with primary and secondary care decreases revisits to ER and admissions to secondary hospitals.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Soins palliatifs
/
Service hospitalier d'urgences
/
Tumeurs
Type d'étude:
Guideline
/
Observational_studies
Limites:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Langue:
En
Journal:
Anticancer Res
Année:
2021
Type de document:
Article