دورية أكاديمية
Hospitalisations of patients with cancer in the last stage of life. Reason to improve advance care planning?
| العنوان: | Hospitalisations of patients with cancer in the last stage of life. Reason to improve advance care planning? |
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| المؤلفون: | van der Padt-Pruijsten A; Department of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands., Oostergo T; Department of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands., Leys MBL; Department of Internal Medicine, Maasstad Hospital, Rotterdam, The Netherlands., van der Rijt CCD; Department Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.; Netherlands Comprehensive Cancer Organisation, The Netherlands., van der Heide A; Department of Public Health, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands. |
| المصدر: | European journal of cancer care [Eur J Cancer Care (Engl)] 2022 Nov; Vol. 31 (6), pp. e13720. Date of Electronic Publication: 2022 Sep 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: England NLM ID: 9301979 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2354 (Electronic) Linking ISSN: 09615423 NLM ISO Abbreviation: Eur J Cancer Care (Engl) |
| أسماء مطبوعة: | Publication: <1992- > : Oxford : Wiley Original Publication: London : [Marston Book Services], 1991- |
| مواضيع طبية MeSH: | Advance Care Planning* , Terminal Care* , Neoplasms*/therapy, Humans ; Adolescent ; Adult ; Retrospective Studies ; Hospitalization ; Hospitals, Teaching |
| مستخلص: | Objective: The aim of this study is to examine why patients are hospitalised in the last stage of life. Methods: Our study was conducted in a large Dutch teaching hospital. We conducted a retrospective chart review of patients aged ≥18 years who died of cancer either during hospitalisation or after discharge to receive terminal care outside the hospital. We collected data about the characteristics of these hospitalisations and indicators of advance care planning. Results: Of the 264 deceased patients, 56% had died in the hospital and 44% after hospital discharge. Of all patients, 80% had been admitted to the hospital because of symptom distress. Dyspnoea (39%) and pain (33%) were the most common symptoms. Most patients underwent diagnostic procedures (laboratory tests [97%] and radiology tests [91%]) and received medical treatment (analgesics [71%] and antibiotics [55%]) during their hospitalisation. A 'Do-Not-Resuscitate' code had been recorded before admission in 42% of the patients and in an additional 52% during admission. Conclusion: Our study shows that patients with cancer in the last stage of life were mainly admitted to the hospital because of symptom distress. Some hospitalisations and in-hospitals deaths may be avoided by more timely recognition of patients' impending death and start of advance care planning. (© 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.) |
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| فهرسة مساهمة: | Keywords: advance care planning; cancer; end-of-life care; hospital care |
| تواريخ الأحداث: | Date Created: 20220929 Date Completed: 20221129 Latest Revision: 20221229 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9788226 |
| DOI: | 10.1111/ecc.13720 |
| PMID: | 36172990 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1365-2354 |
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| DOI: | 10.1111/ecc.13720 |