日本的姑息关怀筛查工具：横断面效用研究。

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2024-08-19 DOI:10.1136/spcare-2023-004761

Mami Minato, Shintaro Kosaka, Masaya Higuchi, Kei Ouchi

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引用次数: 0

摘要

目的：在日本老龄化社会中，基于美国和英国的姑息关怀筛查工具在住院环境中的实用性尚不清楚。本研究旨在利用美国和英国的姑息关怀筛查工具，确定急诊入院患者未得到满足的姑息关怀需求：这项单中心横断面研究纳入了 2019 年 11 月至 2020 年 1 月期间入住日本东京一家急症医院的患者。我们在急诊科入院患者中使用了支持性姑息治疗指标工具和姑息治疗筛查工具：共有 126 名患者（51.6%）筛查结果呈阳性。在这些患者中，主要的合并症是痴呆/虚弱（85.7%）和神经系统疾病（50.8%）：结论：在急症护理医院中，每两名内科住院病人中就有一人可能需要姑息关怀。鉴于日本缺乏足够的姑息关怀医护人员，可能有必要对筛查工具进行修改，以捕捉风险最高的患者。

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Palliative care screening tools in Japan: cross-sectional utility study.

Objectives: In Japan's ageing society, the utility of US-based and UK-based palliative care screening tools in the inpatient setting is unknown. The purpose of this study is to identify the unmet palliative care needs of patients who are admitted to an acute care hospital using the US-based and UK-based screening tools.

Methods: This single-centre, cross-sectional study included patients who were admitted to an acute care hospital in Tokyo, Japan, from November 2019 to January 2020. We used the Supportive and Palliative Care Indicator Tool and Palliative Care Screening Tool in the Emergency Department among admitted patients.

Results: 126 patients (51.6%) were screened positive in total. Among these patients, the main comorbid conditions were dementia/frailty (85.7%) and neurological disease (50.8%).

Conclusions: One out of every two internal medicine inpatients at acute care hospitals may have palliative care needs. Given the lack of adequate palliative care workforce in Japan, a modified screening tool to capture the most high-risk patients may be necessary.

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.