End-of-life care for patients hospitalized in internal medicine departments
| Autor: | O.H. Torres Bonafonte, L.Á. Sánchez Muñoz, E. Casariego Vales, S. Isasi de Isasmendi Pérez, F. Formiga, M. Rubio Gómez, Jesús Díez-Manglano, J. Castiella Herrero |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Clinical audit
medicine.medical_specialty business.industry media_common.quotation_subject education Cancer General Medicine medicine.disease Palliative sedation humanities 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Grief Medical history Observational study 030212 general & internal medicine business End-of-life care media_common Terminal Disease |
| Zdroj: | Revista Clínica Española (English Edition). 219:107-115 |
| ISSN: | 2254-8874 |
| DOI: | 10.1016/j.rceng.2018.08.004 |
| Popis: | Objectives To describe the care provided at the end of life for patients who die in internal medicine departments. Methods An observational, cross-sectional, retrospective multicenter, clinical audit study was conducted where each hospital included the first 10 patients who died in the internal medicine department starting on December 1, 2015. We collected demographic and clinical data and information regarding the circumstances and care at the time of death. Results The study included 1447 patients with a median age of 84 years. Of these, 1065 (74.3%) were polypathological, 751 (51.9%) were terminal and 248 (17.1%) had cancer. For the terminal patients, do-not-resuscitate orders were established for 539 (73.3%), and palliative sedation was performed for 422 (57.4%). There was no record as to whether psychological, religious or grief care was provided in 32%, 64.8% and 44.1% of the terminal patients, respectively. The patients with cancer were more often competent to make decisions (54.4% vs. 15.5%; p Conclusions There is insufficient recording in the medical history as to the end-of-life care. There are differences in the care provided to patients with cancer and to those without cancer. |
| Databáze: | OpenAIRE |
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