Lee Si Won, Kwon Jung Hye, Beom Seung-Hoon, Shin Sang Joon, Kim Hyo Song, Rha Sun Young, Jung Minkyu, Sohn Joo Hyuk, Ahn Joong-Bae, Chung Hyun Cheol, Kim Gun Min, Kim Hye Ryun, Kang Beodeul, Hu Youn Jung, Choi Hye Jin
Palliative Care Center, Yonsei Cancer Center, Seoul, Republic of Korea.
Division of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
Palliat Med Rep. 2023 Jan 17;4(1):9-16. doi: 10.1089/pmr.2022.0033. eCollection 2023.
The acute palliative care unit (APCU) bridges between active cancer treatment and hospice care. However, no study has proven the efficacy of APCU in Korea.
To evaluate the first-year outcomes of the patients admitted to an APCU at a tertiary hospital in Korea.
The APCU admitted 205 patients between April 14, 2014, and April 30, 2015. Of these patients, 57 were evaluable for baseline and one-week follow-up Edmonton Symptom Assessment System (ESAS).
Of the 57 participants, 56.1% were male, with a median age of 60 years (range, 52.8-69.5 years). All patients had advanced cancer, and 42 out of 57 had terminal illnesses. The median APCU stay was 14 days (range, 10-17 days). The 42 (73.7%) patients were referred to the APCU after anticancer treatment was completed. Ten (17.5%) patients died during their stay, and 20 (35.1%) were discharged home. Among those who completed the ESAS, there were significant improvements in scores in the following symptoms: fatigue, depression, loss of appetite, and shortness of breath. Physical symptoms (pain, fatigue, nausea, drowsiness, appetite, and shortness of breath) and the total ESAS scores were significantly improved ( = 0.002 and = 0.005, respectively). Each non-medical palliative care program, such as art and music therapy, yoga, foot massage, haircut, and body care, showed no significant differences between the group who received them and those who did not.
During the APCU stay, the overall symptoms of inpatients were reduced. A comprehensive and multidisciplinary team approach is essential for patients who need palliative care.
急性姑息治疗病房（APCU）在积极的癌症治疗与临终关怀之间起到桥梁作用。然而，韩国尚无研究证实APCU的疗效。
评估韩国一家三级医院APCU收治患者的第一年结局。
APCU在2014年4月14日至2015年4月30日期间收治了205例患者。其中，57例患者可进行基线及一周后的埃德蒙顿症状评估系统（ESAS）随访评估。
57名参与者中，56.1%为男性，中位年龄为60岁（范围52.8 - 69.5岁）。所有患者均患有晚期癌症，57例中有42例患有终末期疾病。APCU住院时间的中位数为14天（范围10 - 17天）。42例（73.7%）患者在抗癌治疗结束后被转至APCU。10例（17.5%）患者在住院期间死亡，20例（35.1%）出院回家。在完成ESAS评估的患者中，以下症状的评分有显著改善：疲劳、抑郁、食欲不振和呼吸急促。躯体症状（疼痛、疲劳、恶心、嗜睡、食欲和呼吸急促）及ESAS总分均有显著改善（分别为 = 0.002和 = 0.005）。各非医疗姑息治疗项目，如艺术与音乐疗法、瑜伽、足部按摩、理发及身体护理，在接受治疗组与未接受治疗组之间未显示出显著差异。
在APCU住院期间，住院患者的总体症状有所减轻。对于需要姑息治疗的患者，综合多学科团队方法至关重要。
