Abstract:

Abstract Objectives: In this study, we aimed to investigate the clinical and demographic characteristics of patients hospitalized in the Palliative Care Center (PBM) of our hospital and to investigate the factors associated with the discharge status and compare them with the literature. Materials and Methods: In this retrospective study, data were obtained by examining the file records of the patients who were followed up and treated in the Hospital Information Management System and archives of Malatya Training and Research Hospital PBM between June 2016 and April 2018. Results: The average age of the 321 patients (53.9% male, 46.1% female) included in the study was 72.5 ± 14.7 and the average length of hospitalization was 15.4 ± 23.2 (1-275) days. The most frequent outpatients (37. 4%), intensive care unit (27.8%), wards (23.1%) and emergency department (11.6%) were found to be the most frequently referred patients. The most frequent hospitalization indications were inadequate oral intake (general disorder), 58.3%, care training 14.3%, pain palliation 12.8% and decubitus wound care 7.5%. The most common comorbidities were SVO, Alzheimer's disease, HT, COPD, and DM, respectively. It was found that 139 (43.3%) of the patients were hospitalized due to malignancy and the most common type of malignancy was lung cancer and later stomach cancer. As the discharge status; 42.7% of the patients were discharged home, 8.7% were transferred to the 3rd Stage Intensive Care Unit, 6.9% were discharged voluntarily, 3.7% were transferred towards, 1.2% were advanced and 36. 8% of the patients were ex. It was observed that approximately half (74) of 139 patients with malignity were mortal and 4 patients were transferred to intensive care unit. Long hospitalization period (longer than 1 month) was seen in patients hospitalized for decubitus wound care (29.1%) and care education (13%). Conclusion: The need for PBMs is increasing day by day due to the increasing number of elderly and advanced oncological and neurological patients. Our study is a single-center, we believe that the data presented to the PBM in Turkey. Purpose: In this study, we aimed at comparing the clinical and demographic characteristics of patients in the Palliative Care Center (PBM) of our hospital with the literature by researching the factors associated with the state of departure. Materials and Methods: Retrospective in this study, the data were obtained by the study of the records of patients traced and treated in the Hospital Information Management System and their archives at the Malatya Education and Research Hospital PBM, between June 2016-April 2018. Results: The average age of 321 patients (53.9 percent Men, 46.1 percent Women) was 72.5±14,7 and the average residence period was 15.4±23.2 (1-275) per day. Patients were found to be applied to PBM on foot (37.4 percent), intensive care (27.8 percent), service (23.1 percent) and emergency service (11.6 percent). The most common indications of sleep were oral intake deficiency (general condition disorder) 58.3%, care training 14.3%, pain palliation 12.8%, and decubite wound care 7.5%. Additional disease was accompanied by SVO, Alzheimer, HT, KOAH and DM respectively. 139 of the patients (43.3%) were diagnosed with malignity caused by malignity as a type of malignity accompanied by the lungs, and later stomach cancer. As a state of displacement; 42.7 percent of patients are displaced home, 8.7 percent 3. Basamak Intense Care period, 6.9 percent was dismissed by their own desire, 3.7 percent was transferred to services, 1.2 percent was transferred to the advance center and 36.8 percent was identified as the patient’s ex. About half of 139 malignant patients (74) were mortal and four were transferred to intensive care. The long leaving period (more than 1 month) was observed in decubite wound care (29.1%) and care training (13%) patients. The result: the need for PBMs is increasing on a daily basis due to the increase in the number of older patients and, if necessary, advanced oncological and neurological patients. Our work is centralized and we think it will provide data to PBMs in Turkey.

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