Palliative Care Patients in the Emergency Department

被引：52

作者：

Lawson, Beverley J. ^{[1
]}

Burge, Frederick I. ^{[1
]}

Mcintyre, Paul ^{[2
]}

Field, Simon ^{[3
]}

Maxwell, David ^{[1
]}

机构：

[1] Dalhousie Univ, Dept Family Med, Halifax, NS, Canada

[2] Capital Dist Hlth Author, Dept Palliat Care, Halifax, NS, Canada

[3] Dalhousie Univ, Dept Emergency Med, Halifax, NS, Canada

来源：

JOURNAL OF PALLIATIVE CARE | 2008年 / 24卷 / 04期

关键词：

D O I：

10.1177/082585970802400404

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：

Although end-of-life care is not a primary function of the emergency department (ED), in reality, many access this department in the later stages of illness. In this study, ED use by patients registered with the Capital Health Integrated Palliative Care Service (CHIPCS) is examined and CHIPCS patient characteristics associated with ED use identified. Overall, 27% of patients made at least one ED visit while registered with CHIPCS; 54% of these resulted in a hospital admission. ED visiting was not associated with time of day or day of the week. Multivariate logistic regression results suggest older patients were significantly less likely to make an ED visit. Making an ED visit was associated with hospital death, rural residence (particularly for women), and having a parent or relative other than a spouse or child as the primary caregiver. Further research may suggest strategies to reduce unnecessary ED visits during the end of life.

引用

页码：247 / 255

页数：9