Characteristics and medical outcomes of palliative patients in tertiary care setting: A cross-sectional study
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Abstract
Objective: To investigate characteristics of palliative patients in Nakhonpathom Hospital
Methods: This cross-sectional study was conducted at the Inpatient Medicine Department from July 2020-January 2021. Palliative patients were eligible to participate in this study if they met the criterion of The Supportive and Palliative Care Indicators Tool 2019 (SPICT™ 2019). The medical records were reviewed.
Results: Two hundred and sixty-two palliative patients were eligible for this study. Forty palliative patients (15.27%) had palliative care consultation services. The proportion of patients with SPICT™ 2019 in the two groups differed. Cancer was the most common primary diagnosis in patients with palliative care consultations (n=32). There were significant differences in the admission unit, SPICT™ 2019, type of cancer, palliative performance scale, and principle diagnosis between the two study groups. Endotracheal tube insertions for patients with palliative care consultation occurred significantly less often than patients without palliative care consultation (15.38% VS 26.47%, P-value < 0.001). The palliative care consultation group also received and achieved advance care plan (P-value < 0.001).
Conclusion: Palliative care services were low in number. However, the palliative care patients had a decreasing percentage of endotracheal tube insertions with more patients achieving ACP. The goal of hospital-based palliative care services should be promoted in non-cancer and Critical Care Unit patients.
Article Details
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสาร PCFM ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการวารสารไม่จำเป็นต้องเห็นด้วยหรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ลงในวารสาร PCFM ถือเป็นลิขสิทธิ์ของวารสาร PCFM หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสาร PCFM ก่อนเท่านั้น
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