The impact of advance care planning of place of death, a hospice retrospective cohort study
| Autor: | Alison Rich, Julian Abel, Tariq Malik, Andy Pring, Julia Verne |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Advance care planning
Adult Male medicine.medical_specialty Pediatrics Chronic conditions Hospice care Medicine (miscellaneous) Cohort Studies Advance Care Planning stomatognathic system Medicine Humans Limited evidence Hospital use Cancer Aged Retrospective Studies Aged 80 and over Terminal Care Oncology (nursing) business.industry Research Communication Hospices Retrospective cohort study General Medicine Middle Aged Home Care Services humanities Hospital care Service evaluation Death Hospitalization Medical–Surgical Nursing England Place of death Emergency medicine Female business End-of-life care Cohort study |
| Zdroj: | BMJ Supportive & Palliative Care |
| ISSN: | 2045-4368 2045-435X |
| Popis: | Objectives There is limited evidence of the impact of advance care planning (ACP) on outcomes. We conducted a retrospective cohort study on deaths of all patients known to a hospice in a 2.5-year period to see if use of ACP affected actual place of death, hospital use and cost of hospital care in the last year. Results 969 patients were included. 550 (57%) people completed ACP. 414 (75%) achieved their choice of place of death. For those who chose home, 34 (11.3%) died in hospital; a care home 2 (1.7%) died in hospital; a hospice 14 (11.2%) died in hospital and 6 (86%) who chose to die in hospital did so. 112 (26.5%) of people without ACP died in hospital. Mean number of days in hospital in the last year of life was 18.1 in the ACP group and 26.5 in the non-ACP group(p |
| Databáze: | OpenAIRE |
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