입원 초기 지표를 통한 호스피스 환자의 퇴원 형태 예측.
| Autor: | 정성인, 이승훈, 김윤진, 이상엽, 이정규, 이유현, 조영혜, 탁영진, 황혜림, 박은주, 김경미 |
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| Předmět: |
ANOREXIA nervosa
BLOOD cell count CANCER patients DEGLUTITION disorders DYSPNEA FATIGUE (Physiology) HOSPICE care LIFE expectancy LIVER function tests HEALTH outcome assessment PSYCHOSOCIAL factors SOCIOECONOMIC factors DISCHARGE planning RETROSPECTIVE studies KARNOFSKY Performance Status BLOOD urea nitrogen |
| Zdroj: | Korean Journal of Hospice & Palliative Care; 2018, Vol. 21 Issue 3, p75-83, 9p |
| Abstrakt: | Purpose: To provide effective palliative care, it is important to predict not only patients' life expectancy but their discharge status at a time of inpatient admission to a hospice care facility. This study was aimed to identify meaningful life expectancy indicators that can be used to predict patients' discharge status on admission to the facility. Methods: Among 568 patients who were admitted to the hospice ward of P hospital from April 1, 2016 through December 31, 2017, 377 terminal cancer patients were selected. This retrospective cohort study was performed by using performance status, symptoms and signs, socioeconomic status, laboratory findings on admission. Results: Alive discharge was associated with a good performance status that was measured with the Karnofsky and Eastern Cooperative Oncology Group (ECOG) scales and the Global health and Mental status. Less anorexia, dyspnea, dysphagia and fatigue were also associated with symptoms and signs. Associated laboratory findings were close to normal Complete Blood Cell (CBC) count, Liver Function Test (LFT) and Blood Urea Nitrogen (BUN). Conclusion: Our findings suggest that Karnofsky Performance Status (KPS), ECOG, Global health, Mental status, anorexia, dyspnea, dysphagia, fatigue, CBC, LFT, BUN are meaningful indicators when predicting discharge status for inpatients. Further investigation is warranted. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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