秘鲁参考医院内科服务住院患者姑息治疗需求的确定

Annie Velasquez-Manrique, Claudia Benavides-Luyo, Susan Chaupi-Rojas, Sandra Andahua-Inuma, Manuel Andrade-Acuña, Rubén R. Sánchez-Ruiz, A. Soto
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引用次数: 0

摘要

引言:更复杂的医院往往照顾晚期慢性病患者,这就是为什么认识到姑息治疗的必要性很重要。目的:确定秘鲁转诊医院内科需要姑息治疗的患者比例。方法:观察、分析、横断面研究。2018年4月至5月期间,所有住院患者都在秘鲁医院内科接受了研究。为了确定姑息治疗的需要,使用了NECPAL CCOMS-ICO©仪器。定量变量表示为中位数和四分位间距(IQR);以及诸如频率和百分比之类的数字变量。为了比较数值变量,使用了Mann-Whitney检验和分类变量的卡方检验。结果:281人接受了评估,其中102人(37.9%)需要姑息治疗。需要姑息治疗的患者的中位年龄为69.5岁(IQR:58-81)。有需要和不需要姑息治疗的患者的中位住院时间分别为7天(IQR:4-11)和9天(IQR:5-19),有和不需要缓和治疗的患者死亡率分别为37.25%和4.19%。结论:在内科病房住院的患者中,对姑息治疗的需求频率很高,对姑息护理的需求与更高的死亡率和住院时间有关,这表明需要基于专业医疗服务的全面和个性化护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identification of palliative care requirement in hospital inpatients in internal medicine services in a peruvian reference hospital
Introduction: Hospitals of greater complexity tend to care for patients with advanced chronic diseases, which is why it is important to recognize the need for palliative care. Objective: To identify the proportion of patients who require palliative care in the medicine department of a Peruvian referral hospital. Methodology: Observational, analytical, cross-sectional study. All hospitalized patients were studied in the Department of Internal Medicine of the Peruvian hospital during the period April-May 2018. To determine the need for palliative care, the NECPAL CCOMS-ICO © instrument was used. The quantitative variables are presented as median and interquartile range (IQR); and numerical variables, such as frequencies and percentages. For the comparison of numerical variables, the Mann Whitney test was used and the chi-square test for categorical variables. Results: They were evaluated in 281, where 102 (37.9%) required palliative care. The median age in patients requiring palliative care was 69.5 (IQR: 58-81) years. The median hospital stay in patients with and without the need for palliative care was 7 days (IQR: 4-11) and 9 days (IQR: 5-19) respectively, the mortality in patients with and without the need for palliative care was 37.25% and 4.19% respectively. Conclusions: There is a high frequency of need for palliative care in patients hospitalized in internal medicine wards, the requirement for palliative care was associated with higher mortality and hospital stay, which evidences the need for comprehensive and personalized care based on medical services specialized.
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