在心力衰竭的已故退伍军人中使用息治疗的趋势
Mitchell Wice1,2,3,4, James L Rudolph1,3,5,4, Lan Jiang1
1Center of Innovation in Long Term Services and Support, Providence VA Healthcare System, Providence, Rhode Island, USA.
Palliative medicine reports
|December 29, 2023
概括
对心力衰竭退伍军人的专家级息护理越来越多地在疾病进程的早期提供. 然而,仍然有很大的机会来扩大对这种至关重要的护理的获取,以改善症状管理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
- 心脏病学 心脏病学
背景情况:
- 专家级息治疗 (SPC) 对于管理晚期心力衰竭 (HF) 的症状和痛苦至关重要.
- 及时的SPC是必不可少的,因为仅在最后几天提供的护理可能是不够的.
研究的目的:
- 分析SPC启动时间相对于HF的退伍军人死亡的时间转移.
- 确定心力衰竭退伍军人的SPC交付趋势和潜在缺口.
主要方法:
- 在2011年至2021年期间死亡的退伍军人心力衰竭诊断的回顾性队列研究.
- 分析从第一次SPC遭遇到死亡的时间间隔,检查年龄队列.
- 主要结局:从SPC接触到死亡的时间.
主要成果:
- 超过56%的队列 (n=232,079) 没有获得SPC.
- 在死亡前90天以上开始SPC的死亡人数增加了一倍以上,从2011年的10.1%增加到2021年的26.2%.
- 相反,生命最后一天的SPC从2.5%降至0.9%.
结论:
- 对于患有HF的退伍军人来说,专家级的息护理越来越多地在疾病轨迹的早期开始.
- 对于心力衰竭的退伍军人来说,有很大的增长机会,可以进一步整合和扩展SPC.
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