Jülich Andreas, Spreu Thomas, Buchhold Britta, Usichenko Taras
1 Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Medicine of Greifswald, Greifswald, Germany.
2 Department of Internal Medicine, University Medicine of Greifswald, Greifswald, Germany.
J Palliat Care. 2017 Jul/Oct;32(3-4):87-88. doi: 10.1177/0825859717741026. Epub 2017 Nov 7.
An integrated multidisciplinary palliative care (IMPC) program is a promising tool to improve symptom control in patients at the end of life. The aim was to study the feasibility of the IMPC program in patients at the palliative care (PC) ward. A retrospective audit, using the extended Edmonton Symptom Assessment Scale (ESAS), was conducted on the PC ward of the university hospital. Consecutive patients who were admitted for the IMPC program during 1 year were considered. One hundred forty-eight cases (93% with underlying cancer) were analyzed. The intensity of pain levels, nausea, vomiting, shortness of breath, and sleep disorders decreased at least by 50% ( P < .0001) during the 13 (median) days of IMPC. Integrated multidisciplinary PC program was associated with symptom improvements in patients at the PC ward. The information generated supports sample size calculation for a prospective controlled trial.
综合多学科姑息治疗（IMPC）项目是改善临终患者症状控制的一种很有前景的工具。目的是研究IMPC项目在姑息治疗（PC）病房患者中的可行性。在大学医院的PC病房进行了一项回顾性审计，使用扩展的埃德蒙顿症状评估量表（ESAS）。纳入了连续1年因IMPC项目入院的患者。分析了148例病例（93%患有潜在癌症）。在IMPC的13天（中位数）期间，疼痛程度、恶心、呕吐、呼吸急促和睡眠障碍的强度至少降低了50%（P < .0001）。综合多学科PC项目与PC病房患者症状改善相关。所产生的信息为前瞻性对照试验的样本量计算提供了支持。
