在患有肺癌的患者中识别和描述可避免的住院病例
Eric M Lander1, Xuanyi Li1, Li-Ching Huang2
11Division of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
15%的肺癌患者住院是可以避免的,通常是由于无法控制的症状或药物错误. 改善症状管理和护理协调可以减少这些住院.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 抚慰性护理是一种缓解性护理.
背景情况:
- 超过50%的肺癌患者在治疗期间面临住院治疗.
- 这些入院对患者和医疗保健系统构成重大负担.
- 描述风险因素和结果对于改善护理至关重要.
研究的目的:
- 确定与肺癌患者住院相关的风险因素和结果.
- 确定可能可以避免的住院治疗的比例.
- 为减少这一群体住院治疗的策略提供信息.
主要方法:
- 2018年肺癌患者入院情况的回顾性审查.
- 多学科团队将入院确定为"可避免"或"不可避免".
- 后勤回归模型分析了可避免入院的风险和结果.
主要成果:
- 在319例入院 (188名患者) 中,有15%被认为是可以避免的.
- 可避免的住院病例与较短的整体存活时间 (1.6 vs 9.7 个月) 有关.
- 关键的驱动因素包括无法控制的症状,药物错误和延迟生命终端护理.
结论:
- 15%的肺癌住院可能是可以预防的.
- 无法控制的症状,延迟的息治疗和药物错误导致了可以避免的入院.
- 症状管理,息护理整合和药物调和是关键的缓解策略.
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