A retrospective study examining the properties and characteristics of dementia patients in a palliative care center

Dinçer, Metin

doi:10.3906/sag-1708-87

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…In the present study, we identified potential indicators of prolonged LOS that can be assessed on admission to the PCU. Our participants represented a typical PCU because of the similarities in average age, gender distribution, proportions of patients with major comorbidities, and median LOS with some previous national [21,22,23] and international [24,10] reports.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the length of stay in the palliative care unit in patients discharged home: results from a tertiary hospital in Turkey

Zengin

Taşçı

2021

Turk J Med Sci

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Background/aimIncreased length of stay (LOS) in the palliative care unit (PCU) is a serious burden to the patients and the health care system. The predictors of longer LOS in a PCU have not been reported so far from Turkey. Our aim in this study was to evaluate the factors associated with the LOS in the PCU of a tertiary hospital. Materials and methodsThis cross-sectional analysis of a retrospective cohort evaluated adult patients' medical records admitted to the PCU between 2017 and 2019. The main inclusion criteria were four or more days of palliative unit stay and being home discharge during the study period. Data on demographics, chronic diseases, mobilization disability, route of feeding, tracheostomy, sleep disturbances, pressure ulcers, and antidepressant use were collected. Potential factors associated with prolonged LOS tertiles were examined by ordinal regression analysis. ResultsA total of 287 discharges from the PCU to home were analyzed. Mean (SD) age was 70.5 (15.8) years, and there was a male predominance (55.7%). The majority of patients had malnutrition, mobility limitation, hypertension, malignant disease, and sleep disturbances. Median LOS was 15 days (4-79).Mean age, hypertension, infections, mobilization limitation, tube feeding, permanent tracheostomy, and pressure ulcers increased from the short stay tertile (4-12 days) to the medium stay tertile (13 to 20 days) and long stay tertile (>21 days) of LOS. Mobilization limitation (p=0.013, OR: 2.34 (95%CI:1.19-4.60)), tube feeding (p=0.001, OR: 2.63 (95%CI: 1.49-4.66), permanent tracheostomy (p=0.007, OR: 4.10 (95%CI: 1.48-11.36)), and hypertension diagnosis (p=0.023, OR:1.80, 95%CI: 1.09-2.98) on admission were associated with being in the medium stay or long stay tertiles of LOS compared to the lowest tertile. ConclusionA longer length of PCU stay is associated with mobilization limitation, tube feeding, permanent tracheostomy, and hypertension. We found no evidence that age, infections or pressure ulcers on admission were associated with extra LOS in the PCU in patients discharged home.

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Section: Discussionmentioning

confidence: 99%

Factors influencing the length of stay in the palliative care unit in patients discharged home: results from a tertiary hospital in Turkey

Zengin

Taşçı

2021

Turk J Med Sci

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Ethics in Palliative Care

Dinçer¹

2023

Supportive and Palliative Care and Quality of Life in Oncology

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Health services received at the end-of-life (EoL) are accepted as a basic human right. EoL is a very difficult period for patients and their families. Patients in the EoL period should be provided palliative care (PC) services that will increase their quality of life, so their families. Especially pain and other symptoms that the patient faces should be relieved during PC, and grief counseling should be provided to families in the mourning period after the patient’s death. A significant majority of patients who need PC services are cancer patients. Health professionals, including doctors in the first place, should conduct their relationships between patients’ families and with patients who need PC in accordance with biomedical ethical principles. The biomedical ethical principles that will protect the boundaries that should not be exceeded are as follows: (1) explaining that the person can participate in decisions about their treatment: Respect for autonomy; (2) explaining that they should not suffer any healthcare-related harm while receiving healthcare services: Nonmaleficence; (3) explaining that the health services they receive should be evidence-based and useful for the patient: Beneficence; and (4) explaining that the patient can get the health service she needs as much as she needs: Justice.

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A retrospective study examining the properties and characteristics of dementia patients in a palliative care center

Cited by 2 publications

References 21 publications

Factors influencing the length of stay in the palliative care unit in patients discharged home: results from a tertiary hospital in Turkey

Factors influencing the length of stay in the palliative care unit in patients discharged home: results from a tertiary hospital in Turkey

Ethics in Palliative Care

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