Comparison of End-of-Life Care Intensity between Cancer and Non-cancer Patients: a Single Center Experience.
10.14475/kjhpc.2015.18.4.322
- Author:
Jae Min KIM
1
;
Sun Kyung BAEK
;
Si Young KIM
;
Chi Hoon MAENG
;
Jae Joon HAN
;
Soyoung PARK
;
Jae Hun PARK
Author Information
1. Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. wkiki@naver.com
- Publication Type:Original Article
- Keywords:
Terminal care;
Adult;
Intensive care;
Decision making
- MeSH:
Academic Medical Centers;
Adult;
Aged;
Aging;
Decision Making;
Dialysis;
Emergencies;
Humans;
Critical Care;
Intensive Care Units;
Intubation, Intratracheal;
Korea;
Logistic Models;
Medical Records;
Respiration, Artificial;
Retrospective Studies;
Terminal Care;
Tertiary Care Centers
- From:Korean Journal of Hospice and Palliative Care
2015;18(4):322-328
- CountryRepublic of Korea
- Language:Korean
-
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.
