1 Sial Family Medicine and Primary Care Research Center, Division of Community Health, Ben-Gurion University of the Negev , Beer-Sheva, Israel .
2 Pain and Palliative Care Unit, Faculty of Health Sciences, Ben-Gurion University of the Negev , Beer-Sheva, Israel .
J Palliat Med. 2015 Sep;18(9):790-3. doi: 10.1089/jpm.2015.0026. Epub 2015 Jun 12.
Most hospitals in Israel do not provide palliative care beds and only few general hospitals have palliative consultation services. To date there are no data on the rate of hospitalizations and the need for palliative care in general hospitals in Israel.
The objective was to characterize patients in need of palliative treatment during hospitalization in a general hospital in Israel.
A retrospective review was performed of a random sample of files of patients admitted to the Internal Medicine Department at the Soroka University Medical Center (SUMC) between May 2007 and April 2008. Patients were defined as in need of palliative care if they had a CARING score ≥13. The data were collected using a structured questionnaire that included sociodemographic data and data on comorbid conditions, main complaints, primary diagnosis, duration of hospitalization, and hospitalization outcome.
We reviewed 2795 hospitalizations. Of these, 14.9% were defined as in need of palliative care. Fourteen percent of the patients died during hospitalization and 47% died over the six-month follow-up period. The most common primary diagnosis was malignancy (61%), followed by end-stage pulmonary disease (19%) and Alzheimer's and other causes of dementia (9%). In only 12 hospitalizations (3.5%) was palliative care arranged for patients at discharge.
A high percentage of patients hospitalized in internal medicine divisions could benefit from palliative care. The data presented here could aid hospitals in the integration of palliative care services.
以色列大多数医院没有提供姑息治疗床位，只有少数综合医院设有姑息治疗咨询服务。迄今为止，以色列综合医院的住院率和姑息治疗需求尚无数据。
本研究旨在描述以色列一家综合医院住院患者对姑息治疗的需求。
对 2007 年 5 月至 2008 年 4 月期间入住索罗卡大学医学中心（SUMC）内科的随机患者档案进行回顾性分析。如果患者的 CARING 评分≥13，则认为其需要姑息治疗。通过使用包括社会人口统计学数据和合并症、主要症状、主要诊断、住院时间和住院结局等数据的结构化问卷收集数据。
我们共回顾了 2795 例住院患者。其中，14.9%的患者被定义为需要姑息治疗。14%的患者在住院期间死亡，47%的患者在 6 个月随访期间死亡。最常见的主要诊断是恶性肿瘤（61%），其次是终末期肺病（19%）和阿尔茨海默病及其他痴呆原因（9%）。仅有 12 例（3.5%）患者在出院时安排了姑息治疗。
内科住院患者中有很大一部分可能受益于姑息治疗。这里呈现的数据可以帮助医院整合姑息治疗服务。
