Análisis retrospectivo de las características en torno a la muerte de pacientes sometidos a trasplante hemopoyético:Experiencia de un centro
- Rosana Panadero
- Cristina San Roman
- Lourdes Suela
- Vanesa González
- Jose L. Diez-Martin
- Sonsoles Carrasco
- Pascual Balsalobre
ISSN: 1697-218X
Datum der Publikation: 2004
Nummer: 6
Art: Artikel
Andere Publikationen in: NURE investigación: Revista Científica de enfermería
Zusammenfassung
Stem cell transplantation is a therapeutic procedure associated with potentially fatal complications (toxicity, graft versus host disease, infections, relapse/progression, etc). Aim: To explore the conditions in which patients transplanted in our institution die. Methods. Descriptive and retrospective analysis of the clinical chart and MED-A forms from adult patients who were transplanted in our hospital and died between October 2000 and September 2003. Results: 32 patients (60% males) were included. Type of transplant: Auto 13 (40%), allo 19 (60%). Cause of death: 50% progression, 50% transplant related mortality. Median of survival was 5 months (range 0,5-39,5). Regarding place of death, 78% of patients died within the hospital and other 22% died at home. Six (24%) of patients dying within the hospital were admitted for palliative management. Pain, disnea and anxiety were the most frequent symptoms and 23,5% of patients died with an insufficient symptom control. Comments regarding the symptomatology in the last week of life were recorded in 15 of 16 nursing charts and in 6 of 16 physician charts. Conclusions: A high proportion of our patients died within the hospital but none in the Palliative Care Unit. In most of cases, despite an appropriate treatment, symptoms were not completely controlled. Most of comments regarding symptomatology of patients were recorded in Nursing charts.