Concepción Jiménez Rojas, Gemma Cuesta Castellón, Saleta Goñi Rosón, Lucía Gómez González, Elena Cano Esteban, Javier Gómez Pavón
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Clinical and care profile of patients admitted to an intermediate stay palliative care unit (UCPME) in the community of Madrid.
Introduction: We present data on the clinical care activity and trajectories of a prospective cohort of 400 patients admitted to an intermediate stay palliative care unit (UCPME) in Madrid.
Materials and methods: Epidemiological data and clinical progression variables were collected. The main differences between oncological and non-oncological patients and age-related differences were described.
Results: 295 oncologic and 105 non-oncological patients were admitted to palliative care. Patients with non-oncological conditions were older (p < 0.001). The referral source was home in 38% and hospital departments in 63%. 350 patients (87.5%) died. Early mortality occurred in 48%. Occupational therapy was provided to 13.8%. Intravenous continuous drug was used in 41% and subcutaneous in 48.5%. Palliative sedation for refractory symptoms was required in 54.5%. Advance care planning was conducted in 96% of admissions.
Conclusions: The care processes revealed a few differences in clinical trajectories between oncological and non-oncological conditions or across age groups.
期刊介绍:
European Geriatric Medicine is the official journal of the European Geriatric Medicine Society (EUGMS). Launched in 2010, this journal aims to publish the highest quality material, both scientific and clinical, on all aspects of Geriatric Medicine.
The EUGMS is interested in the promotion of Geriatric Medicine in any setting (acute or subacute care, rehabilitation, nursing homes, primary care, fall clinics, ambulatory assessment, dementia clinics..), and also in functionality in old age, comprehensive geriatric assessment, geriatric syndromes, geriatric education, old age psychiatry, models of geriatric care in health services, and quality assurance.