Analysis of the therapeutic effort and economic cost of the care provided to a group of hospitalized end-of-life patients.

Autor: Hernández-Bello E; Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain. Electronic address: estelahbello@gmail.com., Sánchez-Recio R; Instituto de Investigación Sanitaria (IIS) Aragón, Zaragoza, Spain., Gasch-Gallén Á; Departamento de Fisiatría y Enfermería, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain.
Jazyk: angličtina
Zdroj: Enfermeria clinica (English Edition) [Enferm Clin (Engl Ed)] 2024 Nov-Dec; Vol. 34 (6), pp. 458-467. Date of Electronic Publication: 2024 Nov 17.
DOI: 10.1016/j.enfcle.2024.11.003
Abstrakt: Aim: There are social inequalities in access to health care that affect therapeutic effort. The aim of the present study was to determine whether there are differences in expenditure according to days of admission and tests performed by age, sex and population of origin in patients at the end of life.
Methods: Cross-sectional descriptive study, with review of clinical histories of terminally ill patients admitted to a hospital, recruited on the basis of the administration of transfusions, who underwent numerous tests and interventions during their last admission before death. Sociodemographic and clinical variables were studied, as well as the cost of admission and tests.
Results: The 140 patients were hospitalized for an average of 17.41 days (SD: 14.323), with an average cost of 8,264.19 euros (SD: 6,799.8788) per stay. They underwent 59 tests, which amounted to €532,209.68. Being male, of advanced age and of rural origin saw an increase in the number of days of admission. Older people and women received more tests. No relationship was found between days of hospitalization and expenditure with sociodemographic and clinical variables. There was a relationship between surgical interventions and sex (p = 0.047); between age and receiving oncological treatments (p < 0), other techniques (p < 0), nuclear medicine tests (p = 0.02) and electrocardiograms (p = 0.052).
Conclusions: Many palliative patients die in hospitals receiving numerous tests that increase the number of days of hospitalization and costs. Advanced age determines hospital admissions, but not sex or population of origin.
Competing Interests: Declaration of competing interest The authors declare that there have been no conflicts of interest in conducting this research or in drafting the manuscript.
(Copyright © 2024. Published by Elsevier España S.L.U.)
Databáze: MEDLINE
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