A retrospective study of emergency admission to a palliative care unit of cancer patients at home
10.2512/jspm.10.911
- VernacularTitle:緩和ケア病棟へ緊急入院となった在宅がん患者に関する検討
- Author:
Maki Murakami
;
Naoki Yamamoto
;
Tomomi Kobayashi
;
Yutaka Takeuchi
;
Masato Morihiro
;
Hironobu Sato
- Publication Type:Journal Article
- Keywords:
palliative care unit;
cancer patients at home;
emergency admission
- From:Palliative Care Research
2015;10(3):911-914
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose:We evaluated that the current state from which a palliative care unit receives emergency admission of cancer patients at home. Methods:We retrospectively investigated the medical records of 393 cancer patients who hospitalized in our unit between January 2013 and December 2014. The patients were shared with a group of two, schedule admission (schedule group) and emergency admission (emergency group), and it was compared with a result on discharge and with a hospitalization period. We investigated admission process, the date and time of admission, and reason for admission in emergency group. Results:The number of patients was 224 of schedule group and 169 of emergency group. The mortality rates were 81% in schedule group and 78% in emergency group (not significant). An emergency group for an average of 24.3 days was shorter for 9 days than schedule groups in a hospitalization period of dead leaving patients (p<0.05). In emergency group, admission process included 128 completed-interviews with the hospitalization, 11 incompleted-interviews before admission and 30 first visits, and 129 patients (76%) admitted within the weekday daytime. Many patients had a complaint of severe pain, appetite loss and oral absorption difficulty, and so much. Conclusions:An emergency group admitted the various processes and the much symptom. There were a lot of cases of early hospital death, but also admitted return at home, and our unit played the role of emergency admission.