Noncancer Palliative Care | Zendy

NinChieh Hsu | Zendy; YuFeng Lin | Zendy; ChinChung Shu | Zendy; MingChin Yang | Zendy; WenJe Ko | Zendy

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Noncancer Palliative Care

Author(s) -

NinChieh Hsu,

YuFeng Lin,

ChinChung Shu,

MingChin Yang,

WenJe Ko

Publication year - 2012

Publication title -

american journal of hospice and palliative medicine®

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.803

H-Index - 51

eISSN - 1938-2715

pISSN - 1049-9091

DOI - 10.1177/1049909112449068

Subject(s) - medicine , palliative care , charlson comorbidity index , do not resuscitate , comorbidity , cancer , terminal cancer , intensive care medicine , emergency medicine , nursing

Little is known about the picture of patients receiving palliative care in the acute care setting. The study was conducted in a medical center in Taiwan. Cancer palliative care (CPC) was performed for terminal do-not-resuscitate (DNR) patients with advanced cancers. Noncancer palliative care (NCPC) was performed for DNR patients who did not fulfill the criteria of CPC. Of the 1379 consecutive admissions, 258 patients were identified, with 193 (74.8%) requiring NCPC and 65 (25.2%) requiring CPC. The NCPC patients were older and had lower Charlson comorbidity index (2.6 vs 8.6, P < .001) than CPC patients and had poorer consciousness and more organ failure than CPC patients when recognized. Many noncancer patients without access to specialist palliative care services were treated in the acute care setting with delayed recognition.

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