TY -的T1 -家庭临终关怀护理的回顾性研究原发性恶性脑瘤(S18.004) JF -神经学乔-神经学六世- 84 - 14补充SP - S18.004盟Eli钻石AU -大卫·罗素盟Kathyrn鲍尔斯盟-玛丽首页亚Kryza-Lacombe AU -珍妮丹尼斯盟Paulina金盟-霍利皮尔森Y1 - 2015/04/06 UR - //www.ez-admanager.com/content/84/14_Supplement/S18.004.abstract N2 -目的:描述临终关怀的时间登记在原发性恶性脑瘤患者(PMBT)背景:PMBT预后不良和临终关怀与几乎所有的病人。启动早期多学科的临终关怀与更好的心理保健、缓解疼痛、癌症患者的生活质量,减少成本相比后入学。启动的时机在PMBT临终关怀和相关社会人口和临床特点是未知的。设计/方法:回顾性分析PMBT安宁居家护理的一个城市,非营利性医疗卫生机构提供多学科临终关怀服务。患者包括成人PMBT去世在安宁居家,2009 - 2013。晚临终关怀被定义为起始治疗7天内死亡。临床特点比较早期和晚期临终关怀起始之间。多个逻辑回归进行确定社会人口特征与临终关怀。结果:172例,男性99 (58 [percnt])。临终关怀的时候承认,平均年龄是62.6(标准差16.0)年。 104 (61[percnt]) were white, 24 (14[percnt]) were Hispanic, 14 (8[percnt]) were black, and 30 (18[percnt]) were another race. 37 (21.5[percnt]) had Medicaid as their primary payer. 63 (37[percnt]) did not have a health care proxy (HCP) at admission. 39 (23[percnt]) died within 7 days of initiating hospice care, and as compared to patients referred earlier, a greater proportion were bedbound (OR=23.70; Fisher’s exact p<.001), aphasic (OR=3.4; p=0.004), or comatose (OR=6.45; p=0.005) at admission. Logistic regression demonstrated that late hospice referral was associated with male gender (OR=5.75; p=0.001), Medicaid insurance (OR=5.46; p=0.006), and absence of a HCP (OR=2.99; p=0.009), but not with age or race. Conclusions: PMBT patients referred late to hospice are severely debilitated at initiation of hospice and may not derive benefit from multidisciplinary palliative care. Greater understanding of the mechanism for sociodemographic influences upon late hospice referral is necessary.Disclosure: Dr. Diamond has nothing to disclose. Dr. Russell has nothing to disclose. Dr. Bowles has nothing to disclose. Dr. Kryza-Lacombe has nothing to disclose. Dr. Dennis has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Prigerson has nothing to disclose.Tuesday, April 21 2015, 3:15 pm-5:00 pm ER -