Predictors for end-of-life in lung and digestive cancer patients based on clinical course to provide more seamless care

2017 Fiscal Year Final Research Report

• Project/Area Number: 25862226
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Gerontological nursing
• Research Institution: Saga University
• Principal Investigator: Kumagai Yuki 佐賀大学, 医学部, 准教授 (10382433)
• Project Period (FY): 2013-04-01 – 2018-03-31
• Keywords: 在宅看護 / ターミナルケア

Outline of Final Research Achievements

The purpose of this study was to identify predictors for the end-of-life in lung and digestive cancer patients based on clinical progress to provide more seamless care. A total of three hundred and twenty-two home-nursing records during the last 2 weeks of life of patients were reviewed. The primary site of cancer was lung (n=10) and digestive (n=17). SpO2, respiratory rate, and shock index were found to predict the approximate last 7 days for lung cancer patients, and temperature, inability to respond to calls, and coma were found to predict the last 3 days for lung cancer patients. Shock index was found to predict the approximate last 7 days for digestive cancer patients and respiratory rate, systolic blood pressure, inability to respond to calls, and coma were found to predict the last 3 days for digestive cancer patients.

Free Research Field

医歯薬学