Abstract
The aim of the study was to evaluate the feasibility and the potential effects of the Haematological Home Care (HHC) programme for acute leukaemia (AL) patients, either in active chemotherapy or in the terminal phase of disease. We retrospectively assessed a group of AL patients assisted at home in terms of number of hospitalisations, accesses to emergency department and place of death. We also used historical data to evaluate potential effects of HHC. The study group consisted of 44 patients, 36 of whom (82%) required palliative treatment, and eight (18%) had ongoing active chemotherapy. The mean number of hospitalisations was 0.64 (range 0-7) per patient, and the number of emergency department (ED) visits was 0.82 (range 0-4) per patient. Place of death was at home for 51.4% of patients and in hospital for 40.5%. Considering a historical group of 17 patients assisted at home the rate of hospitalisations and ED visits were 2.53 (range 0-9) and one (range 0-3), respectively. Place of death was home and hospital in 6% and 65%, respectively. Haematological Home Care for AL patients is feasible and has potential positive effects in terms rate of hospitalisations and place of death.
References
Apr 30, 2005·Journal of Palliative Medicine·I J Higginson, G J Sen-Gupta
Feb 10, 2006·BMJ : British Medical Journal·Barbara Gomes, Irene J Higginson
May 10, 2007·Haematologica·Claudio CartoniRobin Foà
Oct 16, 2007·Acta Haematologica·Choong Hwan ChaYoon Koo Kang
Aug 22, 2008·Palliative Medicine·J CohenL Deliens
Nov 27, 2009·Palliative & Supportive Care·Karen la CourStaffan Josephsson
Jun 3, 2010·BMC Palliative Care·Debra A HowellMartin R Howard
Sep 30, 2010·Palliative & Supportive Care·Gerd Andersson SvidénLena Borell
Jan 14, 2011·Palliative Medicine·Debra A HowellMartin R Howard
Jun 1, 2011·European Journal of Haematology·Herman Nilsson-EhleEva Hellström-Lindberg
Jun 30, 2011·The American Journal of Hospice & Palliative Care·Karen la Cour, Helle Ploug Hansen
Feb 18, 2012·Leukemia Research·Pasquale NiscolaFranco Mandelli
Aug 10, 2012·Blood Reviews·Andrew S EpsteinDiane E Meier
Feb 19, 2013·BMC Palliative Care·Barbara GomesIrene J Higginson
Jun 14, 2013·Leukemia·M OthusE Estey
Nov 20, 2013·BMC Palliative Care·Debra A HowellEve Roman
Jun 25, 2014·Blood·Wilson I GonsalvesShaji K Kumar
Mar 6, 2015·Cancer·Mary-Elizabeth M PercivalChristina A Clarke
May 1, 2015·Cancer·Areej R El-JawahriJennifer S Temel
Jul 15, 2015·BMJ Supportive & Palliative Care·D A HowellM Howard
Nov 11, 2015·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lene Østergaard JepsenLone Smidstrup Friis
Dec 3, 2015·Leukemia Research·Giuseppe MeleAngela Melpignano
Mar 21, 2016·Current Treatment Options in Oncology·Pellegrino MustoAntonino Neri
Apr 22, 2016·Leukemia Research·Jennifer E VaughnRoland B Walter
Jun 7, 2016·The Lancet. Haematology·Areej El-JawahriJennifer S Temel
Citations
Aug 14, 2020·Vox Sanguinis·Julie MoracchiniPierre Tiberghien
Jun 11, 2020·International Journal of Environmental Research and Public Health·Isabella CapodannoLuca Ghirotto
Mar 29, 2021·Journal of Pain and Symptom Management·Elizabeth ElliottShelly S Lo