Aggressive Care at the End of Life; Where Are We?
Aggressive Care at the End of Life; Where Are We?
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DOI：
10.4103/ijpc.ijpc_59_19
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发表时间：
2019-10-01
影响因子：
1.1
通讯作者：
Elsayed, Fifi Mostafa
中科院分区：
文献类型：
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作者：
Mohammed, Amrallah A.;Al-Zahrani, Omar;Elsayed, Fifi Mostafa
背景资料：虽然，努力鼓励姑息治疗只为终端病人，积极的临终关怀（EOL）护理仍然常见的那些可能很快死亡。目的：多中心经验，以调查我们在这个时代的立场？患者和方法：回顾性研究包括晚期实体瘤患者。在生命的最后一个月（LM）中存在一个或多个以下指标是指积极的EOL治疗：急诊科（艾德）就诊≥ 2次，入院至艾德，重症监护室（CCU）死亡，以及死亡前2周接受姑息化疗（PC）。结果：共有435例患者，51.5%为男性，中位年龄为62岁（范围：17-108），被纳入研究。大多数患者（89.2%）属于II组;他们至少接受过两次艾德（60%），约53%通过艾德入院，31%接受过PC-LM，其中41%在死亡前2周接受过PC-LM，13%在CCU死亡，超过一半（53%）存活= 14天和入院模式。与年龄、性别和原发癌部位无统计学显著相关性。结论：我们的大多数患者继续接受他们可能不需要的抗癌治疗，并与生存率低相关。
Background: Although, efforts to encourage palliative care only for terminal patients, aggressive end-of-life care (EOL) care still common for those probably to die shortly. Aim: Multicenter experiences to investigate where did we stand in this era? Patients and Methods: A retrospective study included patients with advanced solid tumors. The presence of one or more of the following indicators in the last month of life (LM) referred to aggressive EOL care: emergency department (ED) visits >= twice, admission to the hospital through ED, death in critical care units (CCUs), and palliative chemotherapy (PC) at the past 2 weeks before death. Results: A total of 435 patients, 51.5% were men with a median age of 62 years (range: 17-108), were included in the study. Most of the patients (89.2%) belonged to Group II; they had attended ED at least twice (60%), approximately 53% admitted to the hospital through ED, 31% received PC-LM with 41% of them had at the past 2 weeks before death, 13% died in the CCUs, and more than half of them (53%) survived = 14 days and the admission mode. There was no statistically significant association with age, sex, and primary cancer sites. Conclusion: The majority of our patients continue with anticancer treatments they possibly do not need and associated with poor survival.