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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 1 - 8 (8page)
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Purpose In order to provide effective hospice care, adequate length of survival (LOS) in hospice isnecessary. However the reported average LOS is much shorter. Analysis of LOS in hospicehas not been reported from Korea. We evaluated the duration of LOS and the factorsassociated with LOS at our hospice center.
Materials and MethodsWe retrospectively examined 446 patients who were admitted to our hospice unit betweenJanuary 2010 and December 2012. We performed univariate and multivariate analysis foranalysis of factors associated with LOS.
ResultsThe median LOS was 9.5 days (range, 1 to 186 days). The LOS of 389 patients (86.8%)was< 1 month. At the time of admission to hospice, 112 patients (25.2%) were completelybedridden, 110 patients (24.8%) had mouth care only without intake, and 134 patients(30.1%) had decreased consciousness, from confusion to coma. The median time intervalbetween the day of the last anticancer treatment and the day of hospice admission was 75days. By analysis of the results of multivariate analysis, decreased intake and laboratoryresults showing increased total white blood cell (WBC), decreased platelet count, increasedserum creatinine, increased aspartate aminotransferase (AST), alanine aminotransferase(ALT), and lactate dehydrogenase (LDH) level were poor prognostic factors for survival inhospice.
ConclusionBefore hospice admission, careful evaluation of the patient’s performance, particularly theoral intake, and total WBC, platelet, creatinine, AST, ALT, and LDH level is essential, becausethese were strong predictors of shorter LOS. In the future, conduct of prospective controlledstudies is warranted in order to confirm the relationship between potential prognostic factorsand LOS in hospice.
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참고문헌 (22)
참고문헌 신청
Chow E / 2001 / How accurate are physicians' clinical predictions of survival and the available prognostic tools in estimating survival times in terminally ill cancer patient
Christakis NA / 2000 / Extent and determinants of error in doctors' prognoses in terminally ill patients : prospective cohort study / BMJ 320 : 469 ~ 472
Christakis NA / 2000 / Impact of individual and market factors on the timing of initiation of hospice terminal care / Med Care 38 : 528 ~ 541
Earle CC / 2003 / Identifying potential indicators of the quality of end-of-life cancer care from administrative data / J Clin Oncol 21 : 1133 ~ 1138
Harrold J / 2005 / Is the palliative performance scale a useful predictor of mortality in a heterogeneous hospice population? / J Palliat Med 8 : 503 ~ 509
Christakis NA / 2000 / Extent and determinants of error in doctors' prognoses in terminally ill patients : prospective cohort study / BMJ 320 : 469 ~ 472
Christakis NA / 2000 / Impact of individual and market factors on the timing of initiation of hospice terminal care / Med Care 38 : 528 ~ 541
Earle CC / 2003 / Identifying potential indicators of the quality of end-of-life cancer care from administrative data / J Clin Oncol 21 : 1133 ~ 1138
Harrold J / 2005 / Is the palliative performance scale a useful predictor of mortality in a heterogeneous hospice population? / J Palliat Med 8 : 503 ~ 509
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