The Imperative for Hospital-Based Palliative Care: Patient, Institutional, and Societal Benefits

Fine, Robert L.

doi:10.1080/08998280.2004.11927978

Cited by 9 publications

(5 citation statements)

References 22 publications

(10 reference statements)

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“…Older children and adolescents are exposed to high-voltage lines-derived electric current outside the home or the industrial high-voltage electric current in business environment. The number of men in this age group is significantly higher than woman (8,12).…”

Section: Discussionmentioning

confidence: 74%

“…A study conducted in Australia showed that EI are seen in men three-fold more than in women, and in both sexes, the most frequently seen ages are between 20 and 30 years (11). Small children are often exposed to low-voltage electric current as a result of biting electrical cables, contacting plug sockets, and introducing conductive materials to plug sockets (12). In this age group, EI are equally observed in both sexes (12).…”

Section: Discussionmentioning

confidence: 99%

“…Small children are often exposed to low-voltage electric current as a result of biting electrical cables, contacting plug sockets, and introducing conductive materials to plug sockets (12). In this age group, EI are equally observed in both sexes (12). Older children and adolescents are exposed to high-voltage lines-derived electric current outside the home or the industrial high-voltage electric current in business environment.…”

Section: Discussionmentioning

confidence: 99%

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Socio-Demographic Characteristics of Patients with Electrical Burns Admitted to Emergency Department

Aköz¹,

Özoğul²,

Avşar³

et al. 2015

JAEM

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Aim: Electrical burns may develop because of the direct effect of electric current on the cell membrane and smooth muscle of blood vessels and because of the transformation into heat energy when passing through body tissues. Electrical burns account for 3%-5% of all cases of burns. Materials and Methods:A total of 213 patients with electrical burns who were admitted to our emergency department (ED) between 2001 and 2011 were retrospectively analyzed. Results:The mean age of patients was 33.7±10.8 (min: 18, max: 72 years), and 86.9% (n=185) of the patients were male. The majority of patients (63.4%; n=135) were living in city centers, followed by patients in the village (22.5%; n=48) and the countryside (14.1%; n=30) respectively. The most common occurrence times of the burns were 14:00 (5.6%; n=12) and 10:00-11:00 (4.2%; n=9). Of the patients, 39.4% (n=84) were admitted to our ED between 18:00 and 24:00. Third degree burns were seen in 57.9% (n=127) patients, second degree in 39.4% (n=84), and first degree in 0.9% (n=2). Subarachnoid hemorrhage was accompanied in one patient and acute abdomen in another. Mortality was 1% (n=2) in the burn center. Electrical burns were most frequently seen in August (14.1%; n=30), June (11.3%; n=24), and July (10.3%; n=22). However, it was rarely seen during winter months (16%; n=34). The average days of hospitalization were 26.4±24.8 (min: 1, max: 141 days). Conclusion:Electrical burns are not common compared with other burns and have a high percentage of third degree burns. The frequency of electrical burns increases during the summer in our region. (JAEM 2015; 14: 26-9)

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Socio-Demographic Characteristics of Patients with Electrical Burns Admitted to Emergency Department

Aköz¹,

Özoğul²,

Avşar³

et al. 2015

JAEM

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“…Palliative care is intended to enhance patient care and help alleviate the financial burden of patients with serious life-limiting illnesses [5]. However, switching terminally ill patients from the ICU to the PCU sometimes initiates a conflict between medical and cultural beliefs.…”

Section: Discussionmentioning

confidence: 99%

Health economics of a palliative care unit for terminal cancer patients: a retrospective cohort study

Jung

Kim

Heo

et al. 2010

Support Care Cancer

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“… 3 , 4 Therefore, for these patients spending more money would not be associated with improved results and some spending in this area might reasonably be reconsidered. 5 …”

Section: Introductionmentioning

confidence: 99%

Hospital, local palliative care network and public health: how do they involve terminally ill patients?

Scaccabarozzi¹,

Limonta²,

Amodio³

2016

Eur J Public Health

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Background: Over one quarter of the health care expenditures is estimated to be spent for patients in the last year of life (LYL). For these patients, palliative care (PC) has been suggested as a response for improving the standards of care and reducing health costs. The aim of this study was to analyze a cohort of LYL people, in terms of comparing hospitalised patients who had been referred for PC to patients receiving usual care (UC). Methods: Retrospective study carried out on patients resident in Lecco (Italy) who died between 2012 and 2013. Records of patients were obtained from the Death certificate registry and cross-linked with Regional Healthcare Information System, Hospital Discharge Records and Palliative Care Registry. A total of 5830 patients were analyzed. Results: At least one hospitalization was reported by 2586 (44.3%) patients in the last month of life and 3957 (67.9%) patients in the last year of life. A total of 1114 (19.1%) patients were referred to palliative care with median duration of enrollment of 31 days (IQR = 11–69). PC was found to decrease the risk of hospital admission (adj-OR = 0.21; 95% CI = 0.18–0.26) and dying in hospital (adj-OR = 0.03; 95% CI = 0.02–0.04). Conclusions: Patients in the last year of life show a high risk of hospitalization, which represents a substantial component of health-care costs. Our study suggests that home PC consultation could represent an important public health strategy in order to lower hospital costs for LYL patients and reduce the probability of dying in hospital.

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The Imperative for Hospital-Based Palliative Care: Patient, Institutional, and Societal Benefits

Cited by 9 publications

References 22 publications

Socio-Demographic Characteristics of Patients with Electrical Burns Admitted to Emergency Department

Socio-Demographic Characteristics of Patients with Electrical Burns Admitted to Emergency Department

Health economics of a palliative care unit for terminal cancer patients: a retrospective cohort study

Hospital, local palliative care network and public health: how do they involve terminally ill patients?

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