马德里社区中级姑息治疗病房（UCPME）收治患者的临床及护理概况
Clinical and care profile of patients admitted to an intermediate stay palliative care unit (UCPME) in the community of Madrid.
作者信息
Rojas Concepción Jiménez, Castellón Gemma Cuesta, Rosón Saleta Goñi, González Lucía Gómez, Esteban Elena Cano, Pavón Javier Gómez
机构信息
Unidad de Cuidados Paliativos de Media Estancia, Hospital Universitario Central de La Cruz Roja, San José y Santa Adela. Madrid, C/Pamplona53, Piso 2 ( Puerta 5), 28039, Madrid, Spain.
Servicio de Geriatría, Hospital Universitario Central de La Cruz Roja, San José y Santa Adela. Madrid, Madrid, Spain.
出版信息
Eur Geriatr Med. 2025 May 5. doi: 10.1007/s41999-025-01216-w.
INTRODUCTION
We present data on the clinical care activity and trajectories of a prospective cohort of 400 patients admitted to an intermediate stay palliative care unit (UCPME) in Madrid.
MATERIALS AND METHODS
Epidemiological data and clinical progression variables were collected. The main differences between oncological and non-oncological patients and age-related differences were described.
RESULTS
295 oncologic and 105 non-oncological patients were admitted to palliative care. Patients with non-oncological conditions were older (p < 0.001). The referral source was home in 38% and hospital departments in 63%. 350 patients (87.5%) died. Early mortality occurred in 48%. Occupational therapy was provided to 13.8%. Intravenous continuous drug was used in 41% and subcutaneous in 48.5%. Palliative sedation for refractory symptoms was required in 54.5%. Advance care planning was conducted in 96% of admissions.
CONCLUSIONS
The care processes revealed a few differences in clinical trajectories between oncological and non-oncological conditions or across age groups.
引言
我们展示了马德里一家中期姑息治疗病房（UCPME）收治的400例患者前瞻性队列的临床护理活动及病程数据。
材料与方法
收集了流行病学数据及临床进展变量。描述了肿瘤患者与非肿瘤患者之间的主要差异以及与年龄相关的差异。
结果
295例肿瘤患者和105例非肿瘤患者接受了姑息治疗。非肿瘤疾病患者年龄更大（p < 0.001）。转诊来源为家庭的占38%，医院科室的占63%。350例患者（87.5%）死亡。48%的患者出现早期死亡。13.8%的患者接受了职业治疗。41%的患者使用了静脉持续给药，48.5%的患者使用了皮下给药。54.5%的患者因难治性症状需要姑息镇静。96%的入院患者进行了预先护理计划。
结论
护理过程显示，肿瘤疾病与非肿瘤疾病之间或不同年龄组的临床病程存在一些差异。
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