The Characteristics of Terminally Ill Cancer Patients Who Expired within 72 Hours after Admission to a Hospice

Abstract

Background: If the length of survival in hospice is too short, terminally ill cancer patients are unable to receive sufficient end-of-life care. However, many patients in hospices die within a relatively short period after admission. The characteristics of the patients who die early in hospice have not been studied; thus, we examined the clinical symptoms and characteristics of the patients who died within 72 hours after admission to a hospice unit in Anyang. Methods: We examined 82 terminally ill cancer patients who died within 72 hours after admission to the hospice unit, and 77 patients who survived for 21–28 days in the same unit, who served as the control group, from January 2010 to March 2015. We examined the baseline, clinical, and laboratory characteristics of the patients by performing a chi-square test for the univariate analysis and binary logistic regression for the multivariate analysis. Results: The median length of survival was 2.11 days (standard deviation, 0.703 days). The multivariate analysis showed that the patients who died within 72 hours showed an increased prevalence of resting dyspnea (P=0.03), decreased consciousness to drowsy mentality (P=0.021), and decreased systolic blood pressure (<90 mmHg; P=0.005). Moreover, the multivariate analysis for the laboratory characteristics revealed increased serum creatinine (P<0.001) and total bilirubin (P=0.011) levels in these patients. Conclusion: The patients who died within 72 hours following admission to the hospice showed an increased prevalence of resting dyspnea, drowsy mentality, decreased systolic blood pressure (<90 mmHg), and increased serum creatinine and total bilirubin levels.