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Hospitalization of palliative non-cancer patients in a stationary hospice — observational center study in Białystok
Affiliations- Poradnia Leczenia Bólu Vitamed, ul.Konopnickiej 34, 15-586 Białystok, Poland
- Klinika Anestezjologii i Intensywnej Terapii Uniwersytet Medyczny w Białymstoku, ul.M.Skłodowskiej-Curie 24a, 15-276 Białystok, Poland
- Klinika Kardiochirurgii Uniwersytet Medyczny w Białymstoku, ul. M.Skłodowskiej-Curie 24, 15-276 Białystok, Poland
- Studenckie Koło Naukowe przy Klinice Anestezjologii i Intensywnej Terapii Uniwersytet Medyczny w Białymstoku, ul.M.Skłodowskiej-Curie24a, 15-276 Białystok, Poland
- Uniwersytet Medyczny w Białymstoku, ul. Skłodowskiej 24A, 15-276 Białystok, Poland
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Abstract
Background. Current epidemiological observations indicate an increasing need for palliative care for patients with non-cancer diseases, including end-stage heart failure. One of the forms of palliative care are medical services provided in stationary hospice. The aim of the study was to present the characteristics of patients hospitalized in hospice stationary care, and in particular to determine the proportion of non-cancer patients.
Patients and methods. The study consisted in analyzing the annual medical records of patients hospitalized in the stationary hospice and recording information on referrals, diagnoses determining admission to the hospice and time of hospitalization. The obtained data was analyzed with non-parametric tests, assuming p < 0.05 as the level of statistical significance.
Results. During the study period, 708 patients were hospitalized in the stationary hospice, significantly more often patients with a diagnosis of a cancer (74%), p < 0.05. Patients diagnosed with cardiology accounted for 12% of the group of non-cancer patients and 2.5% of all hospitalized patients. In the group of cancer patients end-stage heart failure was noticed in 34% cases. In the diagnosis of chronic respiratory failure, 28% of patients had a potential end-stage heart failure cause as a co-morbid diagnosis. The age of patients and their hospitalization time in the stationary hospice did not differ significantly between patients with cancer and non-cancer diseases.
Conclusions. The dominant group in palliative care in the stationary hospice are still oncological patients. End-stage heart failure is the primary indication in palliative care and associated diagnosis in patients with cancer and chronic respiratory failure.
Abstract
Background. Current epidemiological observations indicate an increasing need for palliative care for patients with non-cancer diseases, including end-stage heart failure. One of the forms of palliative care are medical services provided in stationary hospice. The aim of the study was to present the characteristics of patients hospitalized in hospice stationary care, and in particular to determine the proportion of non-cancer patients.
Patients and methods. The study consisted in analyzing the annual medical records of patients hospitalized in the stationary hospice and recording information on referrals, diagnoses determining admission to the hospice and time of hospitalization. The obtained data was analyzed with non-parametric tests, assuming p < 0.05 as the level of statistical significance.
Results. During the study period, 708 patients were hospitalized in the stationary hospice, significantly more often patients with a diagnosis of a cancer (74%), p < 0.05. Patients diagnosed with cardiology accounted for 12% of the group of non-cancer patients and 2.5% of all hospitalized patients. In the group of cancer patients end-stage heart failure was noticed in 34% cases. In the diagnosis of chronic respiratory failure, 28% of patients had a potential end-stage heart failure cause as a co-morbid diagnosis. The age of patients and their hospitalization time in the stationary hospice did not differ significantly between patients with cancer and non-cancer diseases.
Conclusions. The dominant group in palliative care in the stationary hospice are still oncological patients. End-stage heart failure is the primary indication in palliative care and associated diagnosis in patients with cancer and chronic respiratory failure.
Keywords
palliative medicine, end-stage heart failure, non-cancer disorders
About this articleTitle
Hospitalization of palliative non-cancer patients in a stationary hospice — observational center study in Białystok
Journal
Palliative Medicine in Practice
Issue
Article type
Research paper
Pages
1-7
Published online
2018-05-02
Page views
482
Article views/downloads
1248
Bibliographic record
Palliat Med Pract 2018;12(1):1-7.
Keywords
palliative medicine
end-stage heart failure
non-cancer disorders
Authors
Urszula Kościuczuk
Piotr Jakubów
Andrzej Siemiątkowski
Agnieszka Mijalska
Dominik Andrzej Panasiuk
Grzegorz Juszczyk
Tomasz Hirnle
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