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KMID : 0856920150180040322
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Journal of Hospice and Palliative Care
2015 Volume.18 No. 4 p.322 ~ p.328
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Comparison of End-of-Life Care Intensity between Cancer and Non-cancer Patients: a Single Center Experience
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김재민:Kim Jae-Min
백선경:Baek Sun-Kyung/김시영:Kim Si-Young/맹치훈:Maeng Chi-Hoon/한재준:Han Jae-Joon/박소영:Park So-Young/박재훈:Park Jae-Hun
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Abstract
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Purpose: The aging of society has rapidly progressed, especially in Korea. Therefore, the necessity of research on end-of-life (EOL) care in elderly patients has increased. However, there are few studies on EOL care intensity for non-cancer patients. This study was designed to compare the EOL care intensity between cancer and non-cancer patients.
Methods: We retrospectively analyzed the EOL care intensity based on medical records of decedents of Kyung Hee University Medical Center, a tertiary referral hospital from December 2014 through March 2015. And we compared EOL care intensity between cancer patients and non-cancer patients using statistical analysis of the frequency of invasive procedures and logistic regression analysis for factors that affect the EOL care intensity.
Results: Statistical analysis showed invasive procedures, such as intensive care unit admission, endotracheal intubation followed by mechanical ventilation and emergency dialysis, were performed more frequently in non-cancer patients than cancer patients (29.3% vs. 72.4%, P＜0.001). And age (P=0.038) and morbidity of cancer (P＜ 0.001) influenced the invasive procedural decision when analyzed by logistic regression analysis.
Conclusion: The EOL care was more intensive in non-cancer patients, and age and morbidity of cancer were major factors for the treatment intensity.
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KEYWORD
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Terminal care, Adult, Intensive care, Decision making
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