We use cookies to ensure that we give you the best experience on our website Learn more

Jun 17, 2019

MASCC/ISOO Annual Meeting on Supportive Care in Cancer

04 - PLACE OF INTENSIVE CARE IN ADULT CANCER PATIENTS RECEIVING PALLIATIVE CARE : EXPERIENCE FROM A TERTIARY CANCER HOSPITAL IN INDIA

;

palliative

cancer

intensive care

death

cause

Abstract

Abstract

thumbnail

Keywords

palliative

cancer

intensive care

death

cause

Abstract

Introduction : Palliative care should be introduced early during the course of cancer illness. Inspite of structured palliative care services, many institutions do have a good number of advanced cancer patients admitted in the Intensive Care Ward challenging the principles of palliative care. Aim : Exploring reasons for palliative care patients being transferred to intensive care ward and suggestions for change of practice. Materials and Method : 100 palliative care patients of a tertiary cancer institute in India with 24 hour Palliative Care Services, who received treatment in intensive care over last 12 months were assessed retrospectively. Results : Primary medical reasons for transfer in descending order - respiratory distress (70%), seizure (6%), sepsis(4%), uncontrolled hypertension(4%),hypotension(2%), delirium with restlessness (4%), severe intraoral bleeding (4%), hematemesis (2%), unconsciousness (2%), metabolic (2%). The major contributors were cancer lung (20%), GI (30%), breast (10%), hematology (8%). Patients transferred under pall care in last 30 days (44%) with interdiscipline transfer – medical oncology (35%), radiotherapy (24%), surgery (19%), hemato-oncology (16%) and direct MDT(6%). Median duration of stay in ICU (4 days). Late interdisciplinary referrals and lack of timely communication (51%), difference of opinion amongst clinicians (5%), patients and caregivers wishing to take anticancer treatment (19%), direct ICU admission (12%), transfer by the palliative care team (13%) were the chief causes for intensive care transfer. Primary cause of death being pulmonary symptoms (51%). Total no of patients Died Transfer to ward Leave against advice 100 74 20 6 Discussion and Conclusion : Respiratory symptoms still remain the primary cause of fear amongst caregivers, intensive care transfer and death of advanced cancer patients and should be better handled by interdisciplinary team action.

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.