Patients near death receiving specialized palliative home care being transferred to inpatient care – a registry study

Autor: Camilla Wall, Karin Blomberg, Elisabeth Bergdahl, Helena Sjölin, Fredrik Alm
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Palliative Care, Vol 23, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 1472-684X
DOI: 10.1186/s12904-024-01549-6
Popis: Abstract Background The majority of palliative care patients express a preference for remaining at home for as long as possible. Despite progression of disease there is a strong desire to die at home. Nonetheless, there are transfers between care settings, demonstrating a discrepancy between desired and actual place of death. Aim To map the prevalence of patients near death undergoing specialized palliative home care and being transferred to inpatient care in Sweden. Methods A national retrospective cross-sectional study based on data from the Swedish Register of Palliative Care. Patients ≥ 18 years of age enrolled in specialized palliative home care with dates of death between 1 November 2015 and 31 October 2022 were included (n = 39,698). Descriptive statistics were used. Results Seven thousand three hundred eighty-three patients (18.6%), approximately 1,000 per year, were transferred to inpatient care and died within seven days of arrival. A considerable proportion of these patients died within two days after admission. The majority (73.6%) were admitted to specialized palliative inpatient care units, 22.9% to non-specialized palliative inpatient care units and 3.5% to additional care units. Transferred patients had more frequent dyspnoea (30.9% vs. 23.2%, p
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