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http://dx.doi.org/10.14475/kjhpc.2015.18.4.322

Comparison of End-of-Life Care Intensity between Cancer and Non-cancer Patients: a Single Center Experience  

Kim, Jae Min (Department of Internal Medicine, Kyung Hee University School of Medicine)
Baek, Sun Kyung (Department of Internal Medicine, Kyung Hee University School of Medicine)
Kim, Si-Young (Department of Internal Medicine, Kyung Hee University School of Medicine)
Maeng, Chi Hoon (Department of Internal Medicine, Kyung Hee University School of Medicine)
Han, Jae Joon (Department of Internal Medicine, Kyung Hee University School of Medicine)
Park, Soyoung (Department of Internal Medicine, Kyung Hee University School of Medicine)
Park, Jae Hun (Department of Internal Medicine, Kyung Hee University School of Medicine)
Publication Information
Journal of Hospice and Palliative Care / v.18, no.4, 2015 , pp. 322-328 More about this Journal
Abstract
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.
Keywords
Terminal care; Adult; Intensive care; Decision making;
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