Next Article in Journal / Special Issue
Ageing Renal Patients: We Need More Collaboration between Geriatric Services and Nephrology Departments
Previous Article in Journal
From a Reductionist to a Holistic Approach in Preventive Nutrition to Define New and More Ethical Paradigms
Article Menu

Export Article

Open AccessArticle
Healthcare 2015, 3(4), 1064-1074; doi:10.3390/healthcare3041064

Home Palliative Care for Patients with Advanced Chronic Kidney Disease: Preliminary Results

1
Nephrology Department, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Red de Investigación Renal (REDinREN), Hospital Universitario Ramón y Cajal, Carretera de Colmenar km 9100, Madrid 28034, Spain
2
Hospital Palliative Care Unit, Hospital Universitario Ramón y Cajal, Carretera de Colmenar km 9100, Madrid 28034, Spain
3
Home Palliative Care Unit, Hospital Universitario Ramón y Cajal, Carretera de Colmenar km 9100, Madrid 28034, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Helen Noble
Received: 26 May 2015 / Revised: 30 September 2015 / Accepted: 20 October 2015 / Published: 28 October 2015
(This article belongs to the Special Issue Supportive and Palliative Care in Renal Disease)
View Full-Text   |   Download PDF [97 KB, uploaded 28 October 2015]   |  

Abstract

Healthcare for patients with advanced chronic kidney disease (ACKD) on conservative treatment very often poses healthcare problems that are difficult to solve. At the end of 2011, we began a program based on the care and monitoring of these patients by Primary Care Teams. ACKD patients who opted for conservative treatment were offered the chance to be cared for mainly at home by the Primary Care doctor and nurse, under the coordination of the Palliative Care Unit and the Nephrology Department. During 2012, 2013, and 2014, 76 patients received treatment in this program (mean age: 81 years; mean Charlson age-comorbidity index: 10, and mean glomerular filtration rate: 12.4 mL/min/1.73 m2). The median patient follow-up time (until death or until 31 December 2014) was 165 days. During this period, 51% of patients did not have to visit the hospital’s emergency department and 58% did not require hospitalization. Forty-eight of the 76 patients died after a median time of 135 days in the program; 24 (50%) died at home. Our experience indicates that with the support of the Palliative Care Unit and the Nephrology Department, ACKD patients who are not dialysis candidates may be monitored at home by Primary Care Teams. View Full-Text
Keywords: home palliative care; advanced chronic kidney disease home palliative care; advanced chronic kidney disease
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Teruel, J.L.; Rexach, L.; Burguera, V.; Gomis, A.; Fernandez-Lucas, M.; Rivera, M.; Diaz, A.; Collazo, S.; Liaño, F. Home Palliative Care for Patients with Advanced Chronic Kidney Disease: Preliminary Results. Healthcare 2015, 3, 1064-1074.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Healthcare EISSN 2227-9032 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top