改变美国白血病死亡率的位置模式:回顾性分析
Ahmed Sami Raihane1, Muhammad Ahmad Nadeem2, Ahsan Raza Raja3
1Department of Internal Medicine, The University of New Mexico, Albuquerque, New Mexico, USA.
BMJ supportive & palliative care
|May 2, 2025
概括
白血病死亡率正在从医院转移到家庭和临终关怀,但在终身护理方面存在种族差异. 需要有针对性的干预措施,以确保所有白血病患者获得公平的息治疗.
科学领域:
- 血液学 血液学 血液学
- 抚慰性护理是一种缓解性护理.
- 公共卫生 公共卫生
背景情况:
- 白血病是一种致命的血液性恶性瘤,具有显著的死亡率.
- 了解终身护理模式对于改善患者的治疗结果至关重要.
- 现有的关于白血病患者生命终端护理的研究有限.
研究的目的:
- 分析白血病患者死亡地点的趋势.
- 评估白血病死者在终身护理利用中的人口差异.
- 确定改善息护理获取的领域.
主要方法:
- 使用国家死亡数据库 (2008-2020年) 进行回顾性观察研究.
- 从死亡证明中识别出白血病死亡的分析.
- 死亡地点的分类 (临终关怀,家庭,住院,养老院,门诊/ER) 以及对趋势和人口统计学关联的统计分析.
主要成果:
- 观察到白血病死亡人数从住院治疗 (51%至37%) 到家庭治疗 (26%至40%) 和临终关怀 (5%至9%) 发生了显著的转变.
- 年轻的成年人主要死于医院,而老年人则增加了家庭和宿舍死亡.
- 观察到种族差异,与非西班牙裔白人相比,少数群体接受临终关怀的可能性较低,在医院死亡的可能性更高.
结论:
- 白血病终身护理越来越多地在家中或临终医院提供,与更广泛的息护理趋势保持一致.
- 在获得临终关怀和家庭息护理方面的持续种族差异需要有针对性的干预措施.
- 需要采取努力,确保所有白血病患者平等获得高质量的终身护理.
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