An Examination of Factors Affecting the Length of Stay in a Palliative Care Center

• DOI: 10.1089/jpm.2017.0147
• Publication Date: 2017-06-16T21:04:42Z
• Authors: Metin Dincer; Kadriye Kahveci; Cihan Doger
• Keywords: Percutaneous endoscopic gastrostomy; Medical record; Enteral administration

With the increase in elderly population, life-threatening chronic diseases are increasing, simultaneously increasing need for palliative care centers (PCCs).To evaluate factors affecting length of stay (LOS) and discharge patients from a PCC.A retrospective scan was made records followed up PCC between January 2013 March 2016. A record patient age, gender, diagnosis, conditions/comorbidities, Glasgow Coma Scale, Karnofsky Performance LOS, prognosis (exitus or surviving), percutaneous endoscopic gastrostomy (PEG), tracheostomy, mechanical ventilator, nutrition (total parenteral [TPN] enteral nutrition), results cultures taken during PCCs (blood, tracheal aspirate, urine, rectal swab, wound). Evaluation with regression analysis data related to thought have possible effect on LOS PCCs.Four hundred thirty-five were included study, comprising 58.6% men 41.4% women mean age 70.6 ± 17.2 years. The 27.2 30.9 days. total 234 discharged 201 (46.2%) lost mortality PCCs. bacteria most isolated Escherichia coli (28.5%) methicillin resistant Staphylococcus aureus (MRSA) (17%). According analysis, cancer, hypoxic brain, advanced had negative PEG, TPN, hypertension, E. coli, Proteus, Pseudomonas, Acinetobacter infections increased LOS.The this study revealed some basic that affect However, there may be much variation obtained various reasons which group is admitted PCC.