与北爱尔兰癌症死亡患者的紧急入院相关的因素:一项观察数据链接研究
H Mitchell1, V Cairnduff2, S O'Hare3
1Centre for Public Health, Northern Ireland Cancer Registry, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom. helen.mitchell@qub.ac.uk.
BMC health services research
|November 1, 2023
概括
许多癌症患者经历了急诊入院,特别是在生命的末期. 晚期诊断和终身护理的缺陷导致了这些频繁的急诊.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 许多癌症患者需要紧急入院,特别是在诊断前或生命的最后一年.
- 了解影响临终癌症患者获得紧急护理的因素对于资源分配和家庭支持至关重要.
研究的目的:
- 调查与北爱尔兰癌症患者在过去一年和28天生命中的急诊住院相关的因素.
- 为了确定患者的特征和与紧急住院相关的疾病相关因素.
主要方法:
- 利用从2015年在北爱尔兰死于癌症的个人的常规收集的行政数据.
- 采用多变量逻辑回归来分析个人/疾病因素与紧急住院之间的关联.
主要成果:
- 近75%的患者在生命的最后一年至少有一次紧急住院;超过33%的患者在过去28天内住院.
- 男人,患有血液,肺或脑癌的人,年轻人,以及晚期或晚诊癌症的人更有可能进入急诊室.
- 城市居民在生命的最后一个月更有可能进入急诊室;在29%的死亡人群中,在死亡三个月内观察到晚期诊断.
结论:
- 高急诊率表明常规癌症终身护理存在缺陷,需要加强急诊室工作人员的培训.
- 癌症晚期诊断的显著率凸显了需要开展公众宣传活动和系统变革,以促进早期检测.
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