Unplanned hospital admissions of palliative care patients: a great challenge for internal and emergency medicine physicians
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The symptom burden that advanced cancer patients experience in the last months of their lives often leads them to Emergency Department (ED) care [1, 2]. Frequently, the care that these patients receive during their last 6–12 months of life is more aimed at prolonging their lives, repeatedly admitting them to hospital and even to an intensive care unit (ICU) rather than to palliate their symptoms [3, 4].
The topic of unplanned hospital admissions of advanced cancer patients is crucial and very interesting. Thus, we read the paper of Mercadante et al.  with interest, and we compliment the authors for investigating the characteristics of advanced cancer patients with an unplanned admission to an acute palliative care unit (APCU).
Historically, palliative care services have focused on the needs of advanced cancer patients. Conversely, the majority of people needing palliative care are patients with life-limiting non-oncological illnesses, such as cardiovascular diseases, chronic...
KeywordsChronic Obstructive Pulmonary Disease Palliative Care Emergency Department Visit National Comprehensive Cancer Network National Comprehensive Cancer Network
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Conflict of interest
The authors declare that they have no conflict of interest.
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This article does not contain any studies with human participants or animals performed by any of the authors.
- 6.Global Atlas of Palliative Care at the End of Life (2014) In: Connor SR, Sepulveda Bermedo MC (eds) World Health Organization, pp 1–111. www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf. Accessed 23 Feb 2017
- 17.Prognostic Indicator Guidance (PIG) (2011) The National GSF Centre’s guidance for clinicians to support earlier recognition of patients nearing the end of life, 4th Edition Sept. The Gold Standards Framework Centre In End of Life Care CIC. www.goldstandardsframework.org.uk. Accessed 23 Feb 2017
- 18.SIAARTI—Italian Society of Anaesthesia Analgesia Resuscitation and Intensive Care (2003) Grandi insufficienze d’organo “end stage”: cure intensive o cure palliative? “Documento Condiviso” per una pianificazione delle scelte di cura. pp 1–60. http://www.siaarti.it/News/grandi-insufficienze-organo-end-stage-cure-intensive-o-cure-palliative.aspx. Accessed 23 Feb 2017
- 20.Levy MH, Smith T, Alvarez-Perez A, Back A, Baker JN, Beck JN, et al. (2016) NCCN clinical practice guidelines in oncology (NCCN Guidelines®): palliative Care. Version I. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Accessed 23 Feb 2017
- 30.National Clinical Guideline Centre (2015) Care of dying adults in the last days of life. London: National Institute for Health and Care Excellence (UK). http://nice.org.uk/guidance/ng31. Accessed 23 Feb 2017