The Association between Longtime Hospitalization and End-of-Life Care in Advanced Cancer Patients

Ayako Kikuchi; Shuji Hiramoto; Tetsuo Hori; Akira Yoshioka; Kengo Nagashima

Return

The Association between Longtime Hospitalization and End-of-Life Care in Advanced Cancer Patients

VernacularTitle:終末期進行がん患者における長期入院の予測因子と終末期症状・治療との関連
Author: Ayako KIKUCHI ¹ ; Shuji HIRAMOTO ¹ ; Tetsuo HORI ¹ ; Akira YOSHIOKA ² ; Kengo NAGASHIMA ¹
Author Information

1. Department of Clinical Oncology and Palliative Medicine, Mitsubishi Kyoto Hospital
2. Department of Respiratory Surgery, Mitsubishi Kyoto Hospital
Keywords: end-of-life patients; prognostic prediction; palliative care; long hospitalization
From:Palliative Care Research 2018;13(4):335-340
CountryJapan
Language:Japanese
Abstract: There were no reports about long survival predictors in palliative care settings. We divided categories into more than 31 days of hospitalization (short period hospitalization) and more than 61 days of hospitalization) (long hospitalization) and analyzed prognostic factors in multivariate methods. We measured the association between the long hospitalization and short period hospitalization groups with regard to terminal symptoms (cancer pain, delirium, nausea and vomiting, fatigue, and dyspnea) and treatment (hydration, continuous sedation, and opioids). In the more than 31 days of hospitalization group, sex (Odds Ratio 0.502), consciousness (Odds Ratio 0.258), and calcium levels (Odds Ratio 0.559) were statistically significant. In the more than 61 days of hospitalization group, the serum CRP level (Odds Ratio 0.254) was statistically significant and serum calcium level (Odds Ratio 0.376) exhibited a trend. The prevalence of fatigue and amount of hydration were significantly low in the more than 31 days of hospitalization group. There were no differences in terminal symptoms and treatment in the more than 61 days of hospitalization group.