Evaluation Of Cancer And Non-Cancer Patients Receiving Palliative Care Service İn Terms Of Hospitalization Times And Overall Survival During Hospitalization: A Single-Center Experience

Authors : Ziya KALKAN, Senar EBİNÇ, Tuğba TEZER KALKAN, Zuhat URAKÇI, Zeynep ORUÇ

Pages : 28-35

View : 20 | Download : 12

Publication Date : 2021-06-30

Article Type : Research Paper

Abstract :Objective: In the last 20 years, palliative care has gained a place within the health system worldwide. Our aim is to review the demographic characteristics of patients hospitalized in palliative care centers, to investigate the factors influencing hospitalization times of patients with cancer and non-cancer diagnoses and the median in-hospital survival. Results: A total of 428 patients, comprising 237 insert ignore into journalissuearticles values(55.4%); males and 191 insert ignore into journalissuearticles values(44.6%); females were included in the study. Median patient age was 75 insert ignore into journalissuearticles values(18-105); years. In terms of hospitalization times, there were no significant differences between genders insert ignore into journalissuearticles values(p=0.79); and diagnoses insert ignore into journalissuearticles values(malignant/non-malignant);; however, there was a statistically significant difference between survival statuses insert ignore into journalissuearticles values(died/discharged); and patients who died had longer hospitalization times insert ignore into journalissuearticles values(16 days versus 12 days); insert ignore into journalissuearticles values(p=0.008);. When age, gender, hospitalization type and diagnosis were compared with regard to median in-hospital survival in multivariate analysis, the diagnosis insert ignore into journalissuearticles values(non-malignant/malignant); was an independent factor indicating median in-hospital survival insert ignore into journalissuearticles values(HR:2.08, 95% CI:insert ignore into journalissuearticles values(1.47-2.94);, p<0.001);. Conclusion: Among the patients receiving inpatient treatment in the palliative care center, those who died had a longer hospitalization time compared with those who were discharged. Also, patients with a malignant diagnosis had a shorter overall survival during hospitalization compared with those with non-malignant disease.
Keywords : Palliative care, cancer, hospitalization time, survival