End-of-life care for patients hospitalised in internal medicine departments
Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved..
OBJECTIVES: To describe the care provided at the end of life for patients who die in internal medicine departments.
METHODS: An observational, cross-sectional, retrospective multicentre, clinical audit study was conducted where each hospital included the first 10 patients who died in the internal medicine department starting on December 1, 2015. We collected demographic and clinical data and information regarding the circumstances and care at the time of death.
RESULTS: The study included 1,447 patients with a median age of 84 years. Of these, 1,065 (74.3%) were polypathological, 751 (51.9%) were terminal and 248 (17.1%) had cancer. For the terminal patients, do-not-resuscitate orders were established for 539 (73.3%), and palliative sedation was performed for 422 (57.4%). There was no record as to whether psychological, religious or grief care was provided in 32%, 64.8% and 44.1% of the terminal patients, respectively. The patients with cancer were more often competent to make decisions (54.4% vs. 15.5%; P<.001), knew their prognosis (42.6% vs. 8.6%; P<.001), received psychological care (24.9% vs. 8.6%; P<.001), died in an individual room (64.6% vs. 44.4%; P<.001) and were accompanied (81.9% vs. 71.9%; P=.003). Their relatives also more frequently received grief care (15.6% vs. 8.2%; P=.002).
CONCLUSIONS: There is insufficient recording in the medical history as to the end-of-life care. There are differences in the care provided to patients with cancer and to those without cancer.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:219 |
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| Enthalten in: |
Revista clinica espanola - 219(2019), 3 vom: 10. Apr., Seite 107-115 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Cuidados en los últimos días de vida en los pacientes hospitalizados en medicina interna |
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| Links: |
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| Anmerkungen: |
Date Revised 14.05.2021 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.rce.2018.06.010 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM287169251 |
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| 100 | 1 | |a Díez-Manglano, J |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a End-of-life care for patients hospitalised in internal medicine departments |
| 246 | 3 | 3 | |a Cuidados en los últimos días de vida en los pacientes hospitalizados en medicina interna |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Revised 14.05.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved. | ||
| 520 | |a OBJECTIVES: To describe the care provided at the end of life for patients who die in internal medicine departments | ||
| 520 | |a METHODS: An observational, cross-sectional, retrospective multicentre, clinical audit study was conducted where each hospital included the first 10 patients who died in the internal medicine department starting on December 1, 2015. We collected demographic and clinical data and information regarding the circumstances and care at the time of death | ||
| 520 | |a RESULTS: The study included 1,447 patients with a median age of 84 years. Of these, 1,065 (74.3%) were polypathological, 751 (51.9%) were terminal and 248 (17.1%) had cancer. For the terminal patients, do-not-resuscitate orders were established for 539 (73.3%), and palliative sedation was performed for 422 (57.4%). There was no record as to whether psychological, religious or grief care was provided in 32%, 64.8% and 44.1% of the terminal patients, respectively. The patients with cancer were more often competent to make decisions (54.4% vs. 15.5%; P<.001), knew their prognosis (42.6% vs. 8.6%; P<.001), received psychological care (24.9% vs. 8.6%; P<.001), died in an individual room (64.6% vs. 44.4%; P<.001) and were accompanied (81.9% vs. 71.9%; P=.003). Their relatives also more frequently received grief care (15.6% vs. 8.2%; P=.002) | ||
| 520 | |a CONCLUSIONS: There is insufficient recording in the medical history as to the end-of-life care. There are differences in the care provided to patients with cancer and to those without cancer | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cuidados al final de la vida | |
| 650 | 4 | |a Do-not-resuscitate order | |
| 650 | 4 | |a End-of-life care | |
| 650 | 4 | |a Enfermedad terminal | |
| 650 | 4 | |a In-hospital dying | |
| 650 | 4 | |a Muerte en el hospital | |
| 650 | 4 | |a Orden de no reanimar | |
| 650 | 4 | |a Palliative sedation | |
| 650 | 4 | |a Sedación paliativa | |
| 650 | 4 | |a Terminal disease | |
| 700 | 1 | |a Isasi de Isasmendi Pérez, S |e verfasserin |4 aut | |
| 700 | 1 | |a Rubio Gómez, M |e verfasserin |4 aut | |
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| 700 | 1 | |a Torres Bonafonte, O H |e verfasserin |4 aut | |
| 700 | 0 | |a y los investigadores del estudio UDVIMI, del Grupo de Paciente Pluripatológico y Edad Avanzada de la Sociedad Española de Medicina Interna |e verfasserin |4 aut | |
| 700 | 0 | |a Investigadores del estudio UDVIMI |e verfasserin |4 aut | |
| 700 | 1 | |a Díez-Manglano, Jesús |e investigator |4 oth | |
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| 700 | 1 | |a Martín Pérez, Magdalena |e investigator |4 oth | |
| 700 | 1 | |a Díez García, Luis Felipe |e investigator |4 oth | |
| 700 | 1 | |a Vallejo Maroto, Ignacio |e investigator |4 oth | |
| 700 | 1 | |a Ocaña Losada, Cristina |e investigator |4 oth | |
| 700 | 1 | |a Giner Escobar, Pilar |e investigator |4 oth | |
| 700 | 1 | |a Díaz Pérez, Catalina |e investigator |4 oth | |
| 700 | 1 | |a Caballero Granado, Javier |e investigator |4 oth | |
| 700 | 1 | |a García Font, Resfa María |e investigator |4 oth | |
| 700 | 1 | |a Jódar Lorente, Francisco J |e investigator |4 oth | |
| 700 | 1 | |a Pérez Vázquez, Gloria |e investigator |4 oth | |
| 700 | 1 | |a Ferro Expósito, Ana Belén |e investigator |4 oth | |
| 700 | 1 | |a Amaya González, María Luisa |e investigator |4 oth | |
| 700 | 1 | |a Gamboa Antiñolo, Fernando |e investigator |4 oth | |
| 700 | 1 | |a González Molina, Álvaro |e investigator |4 oth | |
| 700 | 1 | |a Gómez Hernández, Mercedes |e investigator |4 oth | |
| 700 | 1 | |a Guzmán García, Marcos |e investigator |4 oth | |
| 700 | 1 | |a Benítez León, Lola |e investigator |4 oth | |
| 700 | 1 | |a Montero Rivas, Lorena |e investigator |4 oth | |
| 700 | 1 | |a Ruiz Mariscal, María |e investigator |4 oth | |
| 700 | 1 | |a Gómez Aguirre, Noelia |e investigator |4 oth | |
| 700 | 1 | |a González García, María Pilar |e investigator |4 oth | |
| 700 | 1 | |a Martín Algora, Isabel |e investigator |4 oth | |
| 700 | 1 | |a Bueno Castel, María Carmen |e investigator |4 oth | |
| 700 | 1 | |a Ruiz Laiglesia, Fernando |e investigator |4 oth | |
| 700 | 1 | |a Bejarano Tello, Esperanza |e investigator |4 oth | |
| 700 | 1 | |a Cabrerizo García, José Luis |e investigator |4 oth | |
| 700 | 1 | |a Guiral Fernández, Nuria |e investigator |4 oth | |
| 700 | 1 | |a Camera, Luis |e investigator |4 oth | |
| 700 | 1 | |a Gauna, Carla |e investigator |4 oth | |
| 700 | 1 | |a Abad Requejo, Pedro |e investigator |4 oth | |
| 700 | 1 | |a Martínez Gutiérrez, Rocío |e investigator |4 oth | |
| 700 | 1 | |a Fernández Regueiro, Rebeca |e investigator |4 oth | |
| 700 | 1 | |a Sánchez Vidal, María Teresa |e investigator |4 oth | |
| 700 | 1 | |a Alfonso Mejido, Joaquín |e investigator |4 oth | |
| 700 | 1 | |a García Carús, Enrique |e investigator |4 oth | |
| 700 | 1 | |a Calvo Rodríguez, Carmen Elena |e investigator |4 oth | |
| 700 | 1 | |a Martínez García, Paula |e investigator |4 oth | |
| 700 | 1 | |a Ruiz Olivares, Sixto |e investigator |4 oth | |
| 700 | 1 | |a Fullana Barcelo, María Isabel |e investigator |4 oth | |
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| 700 | 1 | |a Ros Vilamajó, Rosa |e investigator |4 oth | |
| 700 | 1 | |a Monedero Prieto, María José |e investigator |4 oth | |
| 700 | 1 | |a González Becerra, Concepción |e investigator |4 oth | |
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| 700 | 1 | |a Lorenzo Vizcaya, Ana María |e investigator |4 oth | |
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