Weckmann Michelle T, Freund Katherine, Bay Camden, Broderick Ann
Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA.
Am J Hosp Palliat Care. 2013 Sep;30(6):576-8. doi: 10.1177/1049909112459368. Epub 2012 Sep 5.
To determine whether hospice enrollment at the time of a terminal admission alters the length of stay (LOS) or costs compared with patients not enrolled in hospice.
Retrospective chart review of all nontraumatic inpatient deaths of patients with a previous admission in the preceding 12 months at an academic hospital.
209 patients had a nontraumatic death and an admission in the year prior to the terminal admission. Patients enrolled in hospice had a shorter LOS (P = .02) and lower cost (P < .0001) than patients not enrolled at the time of their terminal admission.
Enrollment in hospice during a terminal admission decreased cost and LOS. Hospice may be a way to provide more cost-effective, appropriate care to dying patients.
确定临终入院时登记参加临终关怀服务与未登记参加临终关怀服务的患者相比，是否会改变住院时长（LOS）或费用。
对一家学术医院在过去12个月内曾有过入院记录的所有非创伤性住院患者死亡病例进行回顾性病历审查。
209例患者在临终入院前一年有非创伤性死亡及入院记录。与临终入院时未登记参加临终关怀服务的患者相比，登记参加临终关怀服务的患者住院时长更短（P = .02），费用更低（P < .0001）。
临终入院时登记参加临终关怀服务可降低费用和住院时长。临终关怀可能是一种为临终患者提供更具成本效益的适当护理的方式。
