{"title":"Palliative sedation rate for noncancer terminally ill patients at home in Japan.","authors":"Moyuru Shionozaki, Ryo Yamamoto, Jun Hamano","doi":"10.1186/s12904-025-01799-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Previous studies have investigated the frequency and target symptoms of palliative sedation in patients with home-based cancer. However, the status of home-based non-cancer patients remains unclear. This study aimed to determine the frequency and target symptoms of palliative sedation in home-based non-cancer patients in Japan.</p><p><strong>Methods: </strong>We conducted a post hoc analysis of a multicenter prospective cohort study of elderly non-cancer patients at home in Japan between January 2020 and December 2020. The physicians routinely assessed and recorded symptoms and treatment every 3 months until home care was discontinued or until the patient died at home. This multicenter prospective cohort study targeted non-cancer patients aged 65 years and over receiving care at home or in nursing homes.</p><p><strong>Results: </strong>Of the 785 patients, 195 died at home or in nursing homes. Seven patients (3.6%) received palliative sedation before death. The target symptoms for sedation were delirium and dyspnea.</p><p><strong>Conclusions: </strong>The sedation rate for noncancer patients at home is relatively low, and the major target symptoms of sedation are delirium and dyspnea.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":"24 1","pages":"158"},"PeriodicalIF":2.5000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139304/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Palliative Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12904-025-01799-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
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Abstract
Background: Previous studies have investigated the frequency and target symptoms of palliative sedation in patients with home-based cancer. However, the status of home-based non-cancer patients remains unclear. This study aimed to determine the frequency and target symptoms of palliative sedation in home-based non-cancer patients in Japan.
Methods: We conducted a post hoc analysis of a multicenter prospective cohort study of elderly non-cancer patients at home in Japan between January 2020 and December 2020. The physicians routinely assessed and recorded symptoms and treatment every 3 months until home care was discontinued or until the patient died at home. This multicenter prospective cohort study targeted non-cancer patients aged 65 years and over receiving care at home or in nursing homes.
Results: Of the 785 patients, 195 died at home or in nursing homes. Seven patients (3.6%) received palliative sedation before death. The target symptoms for sedation were delirium and dyspnea.
Conclusions: The sedation rate for noncancer patients at home is relatively low, and the major target symptoms of sedation are delirium and dyspnea.
期刊介绍：
BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.
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