UNASSIGNED: The cohort study was conducted using 1 million randomly selected samples from the Taiwan Health Insurance Research Database for millions of people in Taiwan in 2009-2013. Descriptive statistics were presented to summarize the characteristics of data. To compare differences between cohorts, Chi-square tests and Student\'s t-tests were used. Mann-Whitney U-tests were performed for nonnormally distributed data. Mantel-Haenszel test was test for trend.
UNASSIGNED: We recruited 770 ESRD patients who underwent hemodialysis; among them, 154 patients received hospice care. Patients who received hospice care had a significantly longer survival time after removal of mechanical ventilator (20 vs. 0 days) and after discontinuation of dialysis (2 vs. 0 days) compared with those who did not receive hospice care. Patients who received hospice care had more pain control (61.04% vs. 17.37%, P < 0.0001) and other symptomatic control (55.84% vs. 43.18% with diuretics, P < 0.05; 64.29% and 48.21% with laxatives, P = 0.0004) medications than those who did not. Nevertheless, the overall medical cost in the hospice group was significantly lower (90 USD and 280 USD, P < 0.0001).
UNASSIGNED: Our results suggest that the addition of hospice care may permit patients a longer life-support-free survival time. In addition, despite a more frequent symptomatic controlling agent use, hospice care significantly reduced the overall medical expenditure.
UNASSIGNED:该队列研究是使用台湾健康保险研究数据库中2009-2013年为台湾数百万人随机选择的100万个样本进行的。提出了描述性统计数据来总结数据的特征。要比较队列之间的差异,使用卡方检验和学生t检验。对非正态分布数据进行了Mann-WhitneyU检验。Mantel-Haenszel测试是趋势测试。
未经证实:我们招募了770名接受血液透析的ESRD患者;其中,154名患者接受了临终关怀。接受临终关怀的患者在撤除机械呼吸机后的生存时间明显更长(20vs.0天)和停止透析后(2vs.0天)与未接受临终关怀的人相比。接受临终关怀护理的患者疼痛控制更多(61.04%vs.17.37%,P<0.0001)和其他症状控制(55.84%vs.43.18%使用利尿剂,P<0.05;64.29%和48.21%使用泻药,P=0.0004)的药物比没有的药物。然而,临终关怀组的整体医疗费用明显较低(90美元和280美元,P<0.0001)。
UNASSIGNED:我们的结果表明,增加临终关怀可能会延长患者的无生命生存时间。此外,尽管更频繁地使用症状控制剂,临终关怀显著降低了整体医疗支出。