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The Symptoms Prevalence, Medical Interventions, and Health Care Service Needs for Patients With End-Stage Renal Disease in a Renal Palliative Care Program
- Source :
- American Journal of Hospice and Palliative Medicine®. 33:952-958
- Publication Year :
- 2016
- Publisher :
- SAGE Publications, 2016.
-
Abstract
- A retrospective study was conducted to evaluate the symptoms prevalence and interventions initiated in the last 2 weeks of life, health care service utilization, and causes of death of patients with end-stage renal disease (ESRD under a renal palliative care (RPC) program. A total of 335 RPC patients were included, of which 226 patients died during the study period. The 5 most prevalent symptoms were dyspnea (63.7%), fatigue (51.8%), edema (48.2%), pain (44.2%), and anorexia (38.1%); and the 5 most prevalent interventions initiated were oxygen (69.5%), parenteral infusion (67.3%), antibiotics (53.5%), bladder catheterization (44.7%), and analgesic (39.8%) in the last 2 weeks of life. Each patient received 3.5 ± 4.4 outpatient clinic visit, 3.4 ± 10.3 home care visits, and 3.1 ± 2.7 hospital admissions. Besides ESRD (51.8%), the most common causes of death were cardiovascular events (18.6%) and infection (17.2%).
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Palliative care
030232 urology & nephrology
Pain
Anorexia
Disease
End stage renal disease
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Cause of Death
Edema
Humans
Pain Management
Medicine
Outpatient clinic
030212 general & internal medicine
Fatigue
Aged
Retrospective Studies
Cause of death
Aged, 80 and over
Terminal Care
business.industry
Palliative Care
Retrospective cohort study
General Medicine
Health Services
Home Care Services
Dyspnea
Quality of Life
Kidney Failure, Chronic
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 19382715 and 10499091
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- American Journal of Hospice and Palliative Medicine®
- Accession number :
- edsair.doi.dedup.....c9beb0a81b062aada0e26f73b7010845