TY - JOUR
T1 - End-of-life care for patients hospitalised in internal medicine departments
AU - Díez-Manglano, J.
AU - Isasi de Isasmendi Pérez, S.
AU - Rubio Gómez, M.
AU - Formiga, F.
AU - Sánchez Muñoz, L.
AU - Castiella Herrero, J.
AU - Casariego Vales, E.
AU - Torres Bonafonte, O. H.
AU - Díez-Manglano, J.
AU - Isasi de Isasmendi Pérez, Soledad
AU - Rubio Gómez, Marta
AU - Martín Pérez, Magdalena
AU - Díez García, Luis Felipe
AU - Vallejo Maroto, Ignacio
AU - Ocaña Losada, Cristina
AU - Giner Escobar, Pilar
AU - Díaz Pérez, Catalina
AU - Caballero Granado, Javier
AU - García Font, Resfa María
AU - Jódar Lorente, Francisco J.
AU - Pérez Vázquez, Gloria
AU - Ferro Expósito, Ana Belén
AU - Amaya González, María Luisa
AU - Gamboa Antiñolo, Fernando
AU - González Molina, Álvaro
AU - Gómez Hernández, Mercedes
AU - Guzmán García, Marcos
AU - Benítez León, Lola
AU - Montero Rivas, Lorena
AU - Ruiz Mariscal, María
AU - Gómez Aguirre, Noelia
AU - González García, María Pilar
AU - Martín Algora, Isabel
AU - Bueno Castel, María Carmen
AU - Ruiz Laiglesia, Fernando
AU - Bejarano Tello, Esperanza
AU - Cabrerizo García, José Luis
AU - Guiral Fernández, Nuria
AU - Camera, Luis
AU - Gauna, Carla
AU - Abad Requejo, Pedro
AU - Martínez Gutiérrez, Rocío
AU - Fernández Regueiro, Rebeca
AU - Sánchez Vidal, María Teresa
AU - Alfonso Mejido, Joaquín
AU - García Carús, Enrique
AU - Calvo Rodríguez, Carmen Elena
AU - Martínez García, Paula
AU - Ruiz Olivares, Sixto
AU - Fullana Barcelo, María Isabel
AU - González Arencibia, Carmen
AU - Ros Vilamajó, Rosa
AU - Monedero Prieto, María José
AU - González Becerra, Concepción
AU - Pérez, Sofía
AU - Martín Plata, Andrea
AU - Portilla Chocarro, Raquel
AU - Dueñas Gutiérrez, Carlos
AU - Estrada Álvarez, Francisco
AU - Peña Balbuena, Sonia
AU - Rodríguez Galindo, Raúl
AU - Cobos Siles, Marta María
AU - Sánchez Muñoz, Luis Ángel
AU - Castañón López, Ana
AU - Sanz Lobo, Celia
AU - Chimeno Viñas, María Montserrat
AU - Contreras Uriel, María Ángeles
AU - Gil Domínguez, Judit
AU - Medrano González, Francisco
AU - Machín Lázaro, José Manuel
AU - Magallanes Gamboa, Jeffrey
AU - Rodríguez Galdeano, Mónica
AU - Castro Giménez, Joaquín
AU - Barberá Farré, José Ramón
AU - Núñez Aragón, Raquel
AU - Masanés Torán, Ferrán
AU - Barbé, José
AU - Güell Farré, Elena
AU - Torres Bonafonte, Olga
AU - Lozano Miñana, Ana
AU - Moras Sarabia, Desirée
AU - Pérez, Rosa
AU - Arnau i Fernández, Dolors
AU - Formiga, F.
AU - Fernández Fernández, Javier
AU - Castro Salomó, Antoni
AU - Qanneta, Rami
AU - Pardo Ortega, María Victoria
AU - Estrada Díaz, Cristina
AU - Monterroso Pintado, Yasmina
AU - García Cors, Montserrat
AU - Almendros Rivas, María Cruz
AU - Domingo Albin, Dolors
AU - Roig Morera, Jaume
AU - Galofré Álvaro, Nuria
AU - Toro Parodi, Aythami
AU - Loureiro Sánchez, Mario
AU - de la Guerra Acebal, Carla
AU - Zubizarreta García, Javier
AU - Benavente Claveras, Iasone
PY - 2019/4/1
Y1 - 2019/4/1
N2 - © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI) Objectives: To describe the care provided at the end of life for patients who die in internal medicine departments. Methods: An observational, cross-sectional, retrospective multicentre, clinical audit study was conducted where each hospital included the first 10 patients who died in the internal medicine department starting on December 1, 2015. We collected demographic and clinical data and information regarding the circumstances and care at the time of death. Results: The study included 1,447 patients with a median age of 84 years. Of these, 1,065 (74.3%) were polypathological, 751 (51.9%) were terminal and 248 (17.1%) had cancer. For the terminal patients, do-not-resuscitate orders were established for 539 (73.3%), and palliative sedation was performed for 422 (57.4%). There was no record as to whether psychological, religious or grief care was provided in 32%, 64.8% and 44.1% of the terminal patients, respectively. The patients with cancer were more often competent to make decisions (54.4% vs. 15.5%; P <.001), knew their prognosis (42.6% vs. 8.6%; P <.001), received psychological care (24.9% vs. 8.6%; P <.001), died in an individual room (64.6% vs. 44.4%; P <.001) and were accompanied (81.9% vs. 71.9%; P =.003). Their relatives also more frequently received grief care (15.6% vs. 8.2%; P =.002). Conclusions: There is insufficient recording in the medical history as to the end-of-life care. There are differences in the care provided to patients with cancer and to those without cancer.
AB - © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI) Objectives: To describe the care provided at the end of life for patients who die in internal medicine departments. Methods: An observational, cross-sectional, retrospective multicentre, clinical audit study was conducted where each hospital included the first 10 patients who died in the internal medicine department starting on December 1, 2015. We collected demographic and clinical data and information regarding the circumstances and care at the time of death. Results: The study included 1,447 patients with a median age of 84 years. Of these, 1,065 (74.3%) were polypathological, 751 (51.9%) were terminal and 248 (17.1%) had cancer. For the terminal patients, do-not-resuscitate orders were established for 539 (73.3%), and palliative sedation was performed for 422 (57.4%). There was no record as to whether psychological, religious or grief care was provided in 32%, 64.8% and 44.1% of the terminal patients, respectively. The patients with cancer were more often competent to make decisions (54.4% vs. 15.5%; P <.001), knew their prognosis (42.6% vs. 8.6%; P <.001), received psychological care (24.9% vs. 8.6%; P <.001), died in an individual room (64.6% vs. 44.4%; P <.001) and were accompanied (81.9% vs. 71.9%; P =.003). Their relatives also more frequently received grief care (15.6% vs. 8.2%; P =.002). Conclusions: There is insufficient recording in the medical history as to the end-of-life care. There are differences in the care provided to patients with cancer and to those without cancer.
KW - Do-not-resuscitate order
KW - End-of-life care
KW - In-hospital dying
KW - Palliative sedation
KW - Terminal disease
U2 - 10.1016/j.rce.2018.06.010
DO - 10.1016/j.rce.2018.06.010
M3 - Article
C2 - 30077385
SN - 0014-2565
VL - 219
SP - 107
EP - 115
JO - Revista Clinica Espanola
JF - Revista Clinica Espanola
ER -
