RT期刊文章SR电子T1家庭临终关怀护理的回顾性研究原发性恶性脑瘤(S18.004)摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP S18.004 VO 84 14补充A1 Eli钻石A1大卫罗素A1 Kathy首页rn Bowles A1玛丽亚Kryza-Lacombe A1珍妮丹尼斯A1 Paulina金正日A1冬青皮尔森年2015 UL //www.ez-admanager.com/content/84/14_Supplement/S18.004.abstract AB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携带相关的不良预后和临终关怀是几乎所有的病人。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