作为瘤病患者预后因素的非预定住院:一项回顾性研究
Carlos Maria Argerich1, Canay Onder2, Luis May3
1Medicine, Universitat de Lleida, Lleida, ESP.
Cureus
|November 21, 2024
概括
非计划性住院对癌症患者的生存率产生负面影响,特别是那些患有晚期 (第四阶段) 疾病或特定症状的人. 这一发现有助于识别可能受益于息护理干预的患者.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 临床预后 临床预后
背景情况:
- 癌症患者的非预定入院与糟糕的结果有关.
- 开发预后模型可以指导息护理团队的干预.
研究的目的:
- 确定癌症患者的存活率,症状和非计划入院之间的相关性.
- 为缓和护理团队干预指示创建一个预后模型.
主要方法:
- 100名瘤病房住院患者的数字临床病史的回顾性分析 (2018年1月至5月).
- 统计分析包括描述性统计,卡普兰-梅尔曲线,Log-Rank和Chi-squared自动交互检测 (CHAID).
主要成果:
- 第四期瘤 (72%) 和肺癌 (29%) 是最常见的;38%的人接受了息治疗.
- 肝转移预测了早期死亡率 (30/90天). 多重症状预测了30天的死亡率没有转移.
- 瘤阶段 (第四阶段) 预测了晚期死亡率 (180/365天);结肠直肠/生殖原发症在第四阶段的生存率有所改善.
结论:
- 非预定的入院是瘤患者显著的负面预后因素.
- 第四阶段疾病,非结直肠/生殖原发性疾病,以及疼痛,呼吸不全,缓冲症或妄想等症状表明生存率不佳.
- 预后见解可以优化临终癌症患者的息护理团队参与.
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