Department of Medicine, St Vincent's Hospital, Victoria, Australia.
Centre for Palliative Care, Victoria, Australia.
Intern Med J. 2019 Jan;49(1):119-122. doi: 10.1111/imj.14177.
Healthcare professionals have limited formal end-of-life care training despite the large proportion of hospital deaths. A retrospective review of 201 acute hospital deaths revealed 166 (82.6%) had documentation to suggest the patient was dying but this was performed late with a median time between documentation and death of 0.84 days. Furthermore, 132 (66%) patients received an intervention in the final 48 h of life. This highlights the need to improve the recognition and management of dying patients in acute hospitals.
尽管医院死亡人数占很大比例，但医疗保健专业人员接受的正规临终关怀培训有限。对 201 例急性医院死亡病例的回顾性审查显示，有 166 例（82.6%）的病例记录表明患者即将死亡，但记录时间很晚，从记录到死亡的中位数时间为 0.84 天。此外，在生命的最后 48 小时内，有 132 名（66%）患者接受了干预。这凸显了需要改善急性医院中临终患者的识别和管理。
