Retrospective analysis of patients followed at Van training and research hospital palliative care unit

Palliative care has taken place in the health system in the world over the last 30 years as a care system that includes medic al and supportive treatments to alleviate the suffering of persons with difficult or impossible treatment. In this study, we aimed to evaluate retrospectively the patients treated and followed -up in our hospital palliative care service. The data of 327 patients who were followed-up and treated in the palliative care unit of Van Training and Research Hospital between May 2015 and February 2017 were reviewed retrospectively. Of the 327 patients, 137 (41.9%) were female and 190 (58.1%) were male. The median age was 63 and the age range was between 12 and 96 years. 87.8% of the patients were followed up due to canc er and cancer related complications. The most common cancer was stomach (32.7%) and esophagus (11.3%). Among the reasons for admission, oral intake disorder was 34.6%; pain palliation was 24.5%; oral intake impairment/pain palliation was 16,2%. Total parenteral nutrition was applied to 57.2% of the patients, jejunostomy was performed in 2 patients, and percutaneous enterogastrostomy was performed in 1 patient. 67% of patients underwent pharmacologic and invasive treatment for pain palliation. In follow -up, 77 patients (23.5%) died. With the increase in the number of elderly population, chronic diseases and bed dependent patients, palliative care needs and awareness are increasing in non-cancer patients. Increasing the number of palliative care centers will improve the quality of life of end-cancer patients and other patient groups and their families.

Kaynakça

1. Kabalak AA. Palliative Care Studies in Turkey. Turkiye Klinikleri J Anest Reanim-Special Topics 2017; 10: 7-12.

2. Komaç A, Elyiğit F, Türemiş C, Gram E, Akar H. Retrospective analysis of hospitalized patients in Tepecik Training and Research Hospital Internal Medicine Palliative Care Unit. FNG & Bilim University Journal of Medicine 2016; 2: 1-3.

3. World Health Organization (WHO) definition of palliative care, avaliable online at Available from: http://www.who.int/cancer/palliative/definition/en [Accessed on: July 20, 2017].

4. Senel G. The Concept of Palliative Care and Palliative Care Admission Criteria. Turkiye Klinikleri J Anest Reanim-Special Topics 2017; 10: 1-6.

5. Sen S, Aygın D, Sert H. Palliative Oncological Treatments and Care.OTSBD1 2016; 21-35.

6. Colak D. Palliative Care Models Around the World. Turkiye Klinikleri J Anest Reanim-Special Topics 2017; 10: 13-19.

7. Özcelik H. Palliative Care and Approach to Dying Patients. Turkiye Klinikleri J Anest Reanim-Special Topics 2017; 10: 87-93.

8. Inan N. How Should Be the Palliative Care Organization? Turkiye Klinikleri J Anest ReanimSpecial Topics 2017; 10: 20-24.

9. Uyar M. To Nurture or Not in Palliative Care? Turkiye Klinikleri J Anest Reanim-Special Topics 2017; 10: 45-48.

Kaynak Göster

1530 910

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