Noncancer Palliative Care: The Lost Pieces in an Acute Care Setting in Taiwan

被引：77

作者：

Hsu, Nin-Chieh ^{[1
,2
,3
]}

Lin, Yu-Feng ^{[1
,2
]}

Shu, Chin-Chung ^{[1
,2
]}

Yang, Ming-Chin ^{[3
]}

Ko, Wen-Je ^{[1
]}

机构：

[1] Natl Taiwan Univ Hosp, Div Hosp Med, Dept Traumatol, Taipei, Taiwan

[2] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 100, Taiwan

[3] Natl Taiwan Univ, Inst Hlth Policy & Management, Coll Publ Hlth, Taipei 10764, Taiwan

来源：

AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2013年 / 30卷 / 04期

关键词：

palliative care; do-not-resuscitate; noncancer palliative care; Charlson comorbidity index; Barthel index; hospitalist;

D O I：

10.1177/1049909112449068

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Little is known about the picture of patients receiving palliative care in the acute care setting. The study was conducted in a medical center in Taiwan. Cancer palliative care (CPC) was performed for terminal do-not-resuscitate (DNR) patients with advanced cancers. Noncancer palliative care (NCPC) was performed for DNR patients who did not fulfill the criteria of CPC. Of the 1379 consecutive admissions, 258 patients were identified, with 193 (74.8%) requiring NCPC and 65 (25.2%) requiring CPC. The NCPC patients were older and had lower Charlson comorbidity index (2.6 vs 8.6, P < .001) than CPC patients and had poorer consciousness and more organ failure than CPC patients when recognized. Many noncancer patients without access to specialist palliative care services were treated in the acute care setting with delayed recognition.

引用

页码：334 / 338

页数：5

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