失代偿期肝硬化的姑息治疗。

Palliative care in cirrhosis with decompensation.

机构信息

Department of Palliative and Supportive Care, Royal Brisbane and Women's Hospitals, Brisbane, Queensland, Australia.

School of Medicine, University of Queensland, Brisbane, Queensland, Australia.

出版信息

Intern Med J. 2019 Jul;49(7):904-908. doi: 10.1111/imj.14348.

DOI:10.1111/imj.14348

PMID:31295784

Abstract

Cirrhosis with decompensation has a poor prognosis, high symptom burden and causes carer stress. This pilot research in one tertiary hospital found that patients with cirrhosis with decompensation were infrequently referred to specialist palliative care. Despite this, they had a heavy symptom burden, high predicted mortality, frequent unplanned readmissions, long admissions and intensive care unit admissions. Few had adequate advance care planning.

摘要

肝硬化失代偿期预后不良，症状负担重，且会给照顾者带来压力。这项在一家三级医院开展的初步研究发现，肝硬化失代偿期患者很少被转介至专科姑息治疗团队。尽管如此，他们的症状负担仍然很重，预计死亡率高，经常出现非计划性再入院，住院时间和入住重症监护病房的时间都很长。很少有患者进行了充分的预立医疗照护计划。