Clinical and financial analysis of an acute palliative care unit in an oncological department

Palliative Medicine
Sebastiano MercadanteSalvatore Mangione

Abstract

The aim of this article is to describe the clinical activity and medical intervention of an acute model of palliative care unit (APC), as well as the reimbursement procedures and economic viability. A sample of 504 patients admitted at an APC in 1 year was surveyed. Indications for admission, pain and symptom intensity, analgesic treatments, procedures, instrumental examinations and modalities of discharge were recorded. For each patient, tariff for reimbursement was calculated according to the existent disease related grouping (DRG) system. The mean age was 62 years, and 246 patients were males. The mean hospital stay was 5.4 days. Pain control was the most frequent indication for admission. All patients had laboratory tests and several instrumental examinations. Almost all patients were prescribed one or more opioids at significant doses, and different routes of administration, as well as medication as needed. 59 patients received blood cell transfusions and 34 interventional procedures. Only 40 patients died in the unit, 11 of them being sedated at the end of life. Treatment efficacy was considered optimal and mild in 264 and 226 patients respectively. A mean of 3019 euros for admission was reimbursed by the Health Care Syst...Continue Reading

References

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Citations

Apr 26, 2012·HNO·H P Zenner
Apr 25, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano Mercadante
Oct 12, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio
Feb 13, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio
Mar 17, 2009·Journal of Palliative Medicine·Sebastiano MercadanteSalvatore Riina
Mar 3, 2010·Journal of Palliative Medicine·John BrysonCamilla Zimmermann
Dec 12, 2013·Journal of Palliative Medicine·María Elena Uceda TorresFrancisco Alvarado Gómez
Mar 1, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sebastiano Mercadante
Oct 18, 2015·Journal of Pain and Symptom Management·Sebastiano MercadanteAlessandra Casuccio
Jul 28, 2015·Nutrition and Cancer·Sebastiano MercadanteAntonino Giarratano
May 26, 2016·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio
Aug 2, 2016·Hospital Practice·Sebastiano MercadanteAlessandra Casuccio
Jan 10, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio
May 5, 2010·The American Journal of Hospice & Palliative Care·Sebastiano MercadanteAlessandra Casuccio
Jan 13, 2018·Anesthesia and Analgesia·Julien CobertAnthony Galanos
Feb 6, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio
Feb 6, 2017·Internal and Emergency Medicine·Sebastiano MercadanteAlessandra Casuccio
Nov 30, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sebastiano MercadanteAlessandra Casuccio

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