Resource use during the last 6 months of life among COPD patients: A population level study
Journal of Pain and Symptom Management Jun 18, 2018
Faes K, et al. - Researchers sought to delineate the end-of-life resource use in people diagnosed with chronic obstructive pulmonary disease (COPD). In addition, people dying of COPD, cardiovascular diseases (CVD) and lung cancer (LC) were compared regarding this resource use. In this full-population retrospective analysis of all Belgian decedents, they studied resource use among 13,086 patients dying of or with COPD. Compared to those who died of CVD or LC, patients dying of COPD received less opioids, sedatives and morphine; used less palliative care services; and received more invasive and non-invasive ventilation. Patients dying of LC required more specialist contacts, hospital admissions and medical imaging as compared to the other 2 groups. Patients dying of CVD required less palliative care services when compared to those who died of LC and showed a comparable use of hospital, ICU, home care, opioids, sedatives and morphine as those who died of COPD. Observations thereby suggest the influence on the resource use at life’s end by the presence of LC and CVD in COPD patients.
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