The determinants of patients in a palliative care unit being discharged home in Japan

Am J Hosp Palliat Care. 2014 May;31(3):244-6. doi: 10.1177/1049909113484384. Epub 2013 Apr 2.

Abstract

In Japan, regarding the place of end-of-life care, many people preferred the home. However, there is a discrepancy between patients' wishes and the actual circumstances. The primary aim of this study was to explore the factors that determine discharge home of patients in a palliative care unit. A total of 31 patients met the criteria. The patients who could be discharged home (group 1; n = 23) were compared with the others (group 2; n = 8). Palliative prognostic index was significantly lower in group 1 than in group 2 (P = .032). Regarding routes of feeding, oral intake was significantly higher in group 1 than in group 2 (P = .043). That is to say, factors determining discharge home of patients may be influenced by the patient's prognosis and the necessity of a feeding device.

Keywords: discharge home; palliative care unit; patients with advanced cancer; the place of end-of-life care.

MeSH terms

  • Aged
  • Female
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Neoplasms / diagnosis
  • Neoplasms / therapy
  • Palliative Care / methods
  • Palliative Care / statistics & numerical data*
  • Patient Discharge / statistics & numerical data*
  • Patient Preference / statistics & numerical data
  • Prognosis
  • Retrospective Studies
  • Terminal Care / methods
  • Terminal Care / statistics & numerical data