Evaluation Of Cancer And Non-Cancer Patients Receiving Palliative Care Service İn Terms Of Hospitalization Times And Overall Survival During Hospitalization: A Single-Center Experience

Yıl 2021, Cilt: 13 Sayı: 1, 28 - 35, 30.06.2021

Ziya Kalkan , Senar Ebinç , Tuğba Tezer Kalkan , Zuhat Urakçı , Zeynep Oruç

Öz

Objective: In the last 20 years, palliative care has gained a place within the health system worldwide. Our aim is to review the demographic characteristics of patients hospitalized in palliative care centers, to investigate the factors influencing hospitalization times of patients with cancer and non-cancer diagnoses and the median in-hospital survival.
Results: A total of 428 patients, comprising 237 (55.4%) males and 191 (44.6%) females were included in the study. Median patient age was 75 (18-105) years. In terms of hospitalization times, there were no significant differences between genders (p=0.79) and diagnoses (malignant/non-malignant); however, there was a statistically significant difference between survival statuses (died/discharged) and patients who died had longer hospitalization times (16 days versus 12 days) (p=0.008). When age, gender, hospitalization type and diagnosis were compared with regard to median in-hospital survival in multivariate analysis, the diagnosis (non-malignant/malignant) was an independent factor indicating median in-hospital survival (HR:2.08, 95% CI:(1.47-2.94), p<0.001).
Conclusion: Among the patients receiving inpatient treatment in the palliative care center, those who died had a longer hospitalization time compared with those who were discharged. Also, patients with a malignant diagnosis had a shorter overall survival during hospitalization compared with those with non-malignant disease.

Anahtar Kelimeler

Palliative care, cancer, hospitalization time, survival

Kaynakça

• Referans1. Health Organization. (2020). Palliative Care. 02.01.2020, https://www.who.int/news-room/fact-sheets/detail/palliative-care.
• Referans2. Gaertner J, Siemens W, Meerpohl J, et al. Effect of specialist palliative care services on quality of life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic review and metaanalysis. BMJ. 2017;357:j2925.
• Referans3. Cherny N, Fallon M, Kaasa S, Portenoy RK, Currow DC. Quality of life in palliative care: principles and practice. Oxford textbook of palliative medicine: Oxford University Press, USA. 2015.1198-209.
• Referans4. SB Sutcliffe. Cancer Control: life and death in an unequal world. Curr Oncol. 2012;19(1):12-5.
• Referans5. Munch TN, Zhang T Willey J, Palmer JL, Bruera E. The Association between Anemia and Fatigue in Patients with Advanced Cancer Receiving Palliative Care. Texas : Journal Of PalliativeMedicine, 2005; 8(6): 1144- 1149.
• Referans6. Özalp G, Uysal N, Oğuz G, Koçak N, Karaca Ş, Kadıoğulları N. Identification of Symptom Clusters in Cancer Patients at Palliative Care Clinic. Asia-Pacific journal of oncology nursing. 2017;4(3):259-64.
• Referans7. Yuruyen M, Tevetoglu IO, Tekmen Y, Polat O, Arslan I, Okuturlar Y. [Prognostic factors and clinical features in palliative care patients] (in Turkish). Konuralp Med J 2018;10(1):74-80. Referans8. H.Çınar, Y.Kaya, N.Özyurt, L.Çakır, A.Ongun. Palyatif Bakım Hastalarında Nütrisyonel Durumun Değerlendirilmesi. Klinik Tıp Aile Hekimliği Dergisi; 2016: 8; 3 p:15-18.
• Referans9. Lee HS, Chun KH, Moon D, Yeon HK, Lee S, Lee S. Trends in receiving chemotherapy for advanced cancer patients at the end of life. BMC Palliat Care. 2015 Mar 13;14:4.
• Referans10. Menezes VH, Nair SN, Soumya M, Tarey S. Prescription Pattern of Analgesic Drugs for Patients Receiving Palliative Care in a Teaching Hospital in India. Indian Journal of PalliativeCare. 2016;22(1):63-66.
• Referans11. Uysal N, Şenel G, Karaca Ş, Kadıoğulları N, Koçak N, Oğuz G. Symptoms seen in inpatient palliative care and impact of palliative care unit on symptom control. The Journal of the Turkish Society of Algology. 2015 ;27(2):104-110.
• Referans12. Kahveci K, Dincer M, Doger C, Yarici AK. Traumatic brain injury and palliative care: A retrospective analysis of 49 patients receiving palliative care during 2013-2016 in Turkey. Neural Regen Res 2017;12:77–83.
• Referans13. Benli AR, Sunay D. [A model of collaboration between palliative care unit and home health care services: Karabuk] (in Turkish). Ankara Med J 2017;17(3):143-50.
• Referans14. Dincer M, Kahveci K, Doger C. An examination of factors affecting the length of stay in a palliative care center. J Palliat Med 2017.
• Referans15. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clinics in geriatric medicine. 1997;13(3):421-36.
• Referans16. Dincer M, Kahveci K, Doger C. An Examination of Factors Affecting the Length of Stay in a Palliative Care Center. J Palliat Med. 2018 Jan;21(1):11-15.