Alsirafy Samy A, Abou-Alia Ahmad M, Ghanem Hafez M
Palliative Medicine Unit, Kasr Al-Ainy Center of Clinical Oncology & Nuclear Medicine (NEMROCK), Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt
Palliative Care Department, King Fahad Specialist Hospital-Dammam, Dammam, Saudi Arabia.
Am J Hosp Palliat Care. 2015 May;32(3):275-9. doi: 10.1177/1049909113514476. Epub 2013 Dec 2.
Hospital length of stay (LoS) may be used to assess end-of-life care aggressiveness and health care delivery efficiency. We describe the terminal hospitalization LoS of patients with cancer managed by a hospital-based palliative care (PC) program comprising a palliative care consultation (PCC) service and an inpatient palliative care unit (PCU). A total of 328 in-hospital cancer deaths were divided into 2 groups. The PCU group included patients admitted by the PC team directly to the PCU. The PCC group included patients admitted by other specialties and referred to the PCC team. The LoS of the PCU group was significantly shorter than that of the PCC group (9.9 [±9.4] vs 17.8 [±19.7] days, respectively; P < .001). Direct terminal hospitalization to PCU is not associated with longer LoS among cancer deaths managed by a hospital-based PC service.
住院时间（LoS）可用于评估临终关怀的积极程度和医疗服务提供效率。我们描述了由一个基于医院的姑息治疗（PC）项目管理的癌症患者的末期住院时间，该项目包括姑息治疗咨询（PCC）服务和住院姑息治疗单元（PCU）。共有328例院内癌症死亡患者被分为两组。PCU组包括由PC团队直接收治到PCU的患者。PCC组包括由其他专科收治并转诊至PCC团队的患者。PCU组的住院时间明显短于PCC组（分别为9.9[±9.4]天和17.8[±19.7]天；P<.001）。在由基于医院的PC服务管理的癌症死亡病例中，直接末期住院到PCU与更长的住院时间无关。
