区域舒缓治疗路径对急诊就诊和住院的影响。
Impact of the Regional Palliative Care Pathway on Emergency Room Visits and Hospitalizations.
机构信息
Faculty of Medicine, Helsinki University and Hyrylä Health Care Center, Keski-Uudenmaan Sote, Tuusula, Finland;
Palliative Center of Turku University Hospital, Turku, Finland.
出版信息
Anticancer Res. 2021 Mar;41(3):1701-1706. doi: 10.21873/anticanres.14934.
BACKGROUND/AIM: To explore the effect of palliative care (PC) pathway including home care and end-of-life care beds in the community hospitals supported by a PC unit in the secondary hospital on ER visits and hospitalizations.
PATIENTS AND METHODS
Patients with advanced cancer and no further oncologic therapies who visited the ER of the Hyvinkää hospital before (2009) and after (2015) the establishment of the PC pathway were evaluated.
RESULTS
A total of 112 patients visited the ER in both years, but revisits decreased from 59% to 38% (p<0.01). The most common symptoms necessitating the visit were pain (20%) and dyspnoea (14%). The proportion of patients admitted to a secondary hospital were 56% and 45% (p=0.016) and to community hospitals 12% and 28% (p<0.001) in 2009 and 2015, respectively.
CONCLUSION
Organizing a PC pathway for cancer patients together with primary and secondary care decreases revisits to ER and admissions to secondary hospitals.
背景/目的：探讨由二级医院的姑息治疗（PC）病房支持的社区医院中的姑息治疗途径（包括家庭护理和临终关怀床位）对急诊就诊和住院的影响。
患者和方法
评估了在姑息治疗途径建立之前（2009 年）和之后（2015 年）到 Hyvinkää 医院急诊就诊的晚期癌症且无进一步肿瘤治疗的患者。
结果
两年中共有 112 名患者到急诊就诊，但复诊率从 59%降至 38%（p<0.01）。最常见需要就诊的症状是疼痛（20%）和呼吸困难（14%）。2009 年和 2015 年分别有 56%和 45%（p=0.016）的患者被收治到二级医院，12%和 28%（p<0.001）的患者被收治到社区医院。
结论
为癌症患者组织姑息治疗途径，与初级和二级护理相结合，可减少急诊就诊和二级医院收治。
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