e-ISSN 1309-2545      ISSN 1301-062X
TR    ENG
 

Download Current Issue.

Volume : 26 Issue : 2 Year : 2020

Current Issue Archive Popular Articles Ahead of Print Submit Your Article Login
Turkish Journal of Neurology Indexed By
  Palliative Care Requirement in Neurologic Diseases [Turk J Neurol]
Turk J Neurol. 2020; 26(2): 153-159 | DOI: 10.4274/tnd.2020.26594  

Palliative Care Requirement in Neurologic Diseases

Gülhan Sarıçam1, Kadriye Kahveci2, Doğan Akdoğan3
1Pursaklar State Hospital, Clinic of Neurology, Ankara, Turkey
2Ankara Numune Training and Research Hospital, Clinic of Anesthesiology and Reanimation, Ankara, Turkey
33Pursaklar State Hospital, Clinic of Microbiology, Ankara, Turkey

Objective: It has been reported that the need for palliative care (PC) increases every day in chronic critical illnesses such as neurologic disorders. We investigated the demographics and comorbidities of neurological patients followed up in a PC center (PCC), and their effect on hospitalization period and discharge status.
Materials and Methods: The medical records of 175 patients followed up in the PCC were reviewed retrospectively. Neurologic disorders were classified as stroke (ischemic and hemorrhagic), neurologic system tumors, brain hypoxia, dementia, Parkinson’s disease, traumatic brain injury (TBI), and other diseases (amyotrophic lateral sclerosis, multiple sclerosis). Age, sex, PCC length of hospital stay (LOS), Glasgow Coma Scale (GCS), nutritional status [oral, percutaneous endoscopic gastrostomy (PEG)], tracheostomy, pressure ulcer, and discharge status were compared for the patients.
Results: The diagnoses of the patients whose average age was 66.58±19.97 years and LOS was 35.63±41.93 days were most often stroke and dementia (45.7% and 17%, respectively). In patients with PEG and tracheostomy, LOS in PCC was significantly longer, and patients with tracheostomy had a higher discharge rate. GCS was significantly lower in patients with TBI, whereas the home discharge rate was determined to be higher. Furthermore, age and GCS values of patients whose discharge status was exitus were found to be significantly higher.
Conclusion: Even though neurologic diseases represent the most common patient population after cancer in need of PC, there are insufficient studies for describing the characteristics of this population, meeting their needs, and increasing awareness in this area.

Keywords: Palliative care, neurological disorders, hospitalization period


Gülhan Sarıçam, Kadriye Kahveci, Doğan Akdoğan. Palliative Care Requirement in Neurologic Diseases. Turk J Neurol. 2020; 26(2): 153-159

Corresponding Author: Gülhan Sarıçam, Türkiye


TOOLS
English Full Text
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar




 
© Copyright 2020 Turkish Journal of Neurology
Home        |        Contact
LookUs & OnlineMakale