Factors predicting home death for terminally ill cancer patients receiving hospital-based home care:: The Lyon Comprehensive Cancer Center experience
Factors predicting home death for terminally ill cancer patients receiving hospital-based home care:: The Lyon Comprehensive Cancer Center experience
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DOI：
10.1016/j.jpainsymman.2005.05.022
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发表时间：
2005-12-01
影响因子：
4.7
通讯作者：
Philip, T
中科院分区：
文献类型：
--
作者：
Chvetzoff, G;Garnier, M;Philip, T
本研究旨在确定在协调的家庭护理背景下有利于癌症患者在家死亡的因素。里昂癌症中心家庭护理协调部门对患者进行了一项回顾性研究。主要终点是死亡地点。单变量分析包括一般特征（年龄、性别、农村或城市居住地、疾病）、卡诺夫斯基指数（KI）、转诊时的护理类型（化疗、姑息治疗或其他支持性护理）以及协调肿瘤内科医师（MCO）家访。在逻辑回归分析中使用了重要因素。在 250 名患者中，90 名（36%）在家中死亡。低 KI 和 MCO 家访与家庭死亡相关（比值比分别为 2.1 和 3.1）。这些结果表明医疗保健支持有利于家庭死亡。以医院为基础的家庭护理单位可以有效缩小社区和医院之间的差距。 MCO 家访为医疗保健专业人员、患者和亲属提供具体支持。
This study aimed to determine factors favoring home death for cancer patients in a context of coordinated home care. A retrospective study was conducted among patients followed up by the home care coordinating unit of the cancer center of Lyon. The main endpoint was place of death. Univariate analysis included general characteristics (age, gender, rural or urban residence, disease), Karnofsky Index (KI), type of care at referral (chemotherapy, palliative care, or other supportive care), and coordinating medical oncologists (MCO) home visits. Significant factors were used in a logistic regression analysis. Of 250 patients, 90 (36%) had home death. Low KI and MCO home visit were correlated with home death (odds ratio, respectively, 2.1 and 3.1) These results indicate that health care support favors home death. A hospital-based home care unit is effective for bridging the gap between community and hospital. MCO home visits offer concrete support to health care professionals, patients, and relatives.