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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective: This study examined the effects of the new law on life-sustaining treatment (LST) in emergency patients with advanced malignancy. Methods: This was a retrospective before-after study performed at a single hospital. The enrollment criteria were as follows: patients who visited the emergency department during the study period, age ≥18 years, Korean Triage and Acuity Scale 1-2 to enroll severely ill patients requiring LST, solid malignancy with metastasis, and admitted to the study hospital. The after group was defined as those enrolled in May 2018, and the before group was defined as those enrolled in May 2017. The primary outcomes were defined as LST, including intensive care unit (ICU) admission, renal replacement therapy, mechanical ventilation, and cardiopulmonary resuscitation. Secondary outcomes were defined as each component of the primary outcomes, hospital length of stay, cost, and mortality. Results: Ninety-seven patients were enrolled (before group [n=46], after group [n=51]). LST was provided more frequently in the after group (19.6% vs. 47.1%, P=0.004). The ICU admission rate was higher (19.6% vs. 43.1%, P=0.013), and mechanical ventilation was applied more frequently (6.5% vs. 21.6%, P=0.044) in the after group. Furthermore, the median hospital length of stay (six-day vs. 11-day, P=0.016) was longer, and the median hospital cost was higher (3,777 USD vs. 7,882 USD, P<0.001) in the after group. Hospital mortality did not differ (19.6% vs. 35.3%, P=0.084). Conclusion: New end-of-life care law increased the rate of LST in emergency patients with advanced malignancy regardless of the improved survival rate.
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등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
World Health Organization / World health statistics
Wright AA / 2014 / Associations between palliative chemotherapy and adult cancer patients’ end of life care and place of death : prospective cohort study / BMJ 348:g1219
Oh DY / 2006 / CPR or DNR? End-oflife decision in Korean cancer patients : a single center’s experience / Support Care Cancer 14:103~108
Bekelman JE / 2016 / Comparison of site of death, health care utilization, and hospital expenditures for patients dying with cancer in 7 developed countries / JAMA 315:272~283
최연악 / 2015 / Cancer Treatment near the End-of-Life Becomes More Aggressive: Changes in Trend during 10 Years at a Single Institute / Cancer Research and Treatment 47(4):555~563
Wright AA / 2014 / Associations between palliative chemotherapy and adult cancer patients’ end of life care and place of death : prospective cohort study / BMJ 348:g1219
Oh DY / 2006 / CPR or DNR? End-oflife decision in Korean cancer patients : a single center’s experience / Support Care Cancer 14:103~108
Bekelman JE / 2016 / Comparison of site of death, health care utilization, and hospital expenditures for patients dying with cancer in 7 developed countries / JAMA 315:272~283
최연악 / 2015 / Cancer Treatment near the End-of-Life Becomes More Aggressive: Changes in Trend during 10 Years at a Single Institute / Cancer Research and Treatment 47(4):555~563
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