Abstract：
AIM OF THE STUDY:Analysis of differences between oncologic and non-oncologic patients in the first German hospital-based special care unit for palliative geriatrics. METHODS:Systematic analysis of patients' records according to a standardized protocol. RESULTS:A total of 217 patients from a hospital-based special care unit for palliative geriatrics (56.7% women, 43.4% men) were included over a retrospective period of 1.5 years. Patients were categorized as non-oncologic (53.4%, n=116) or oncologic (46.5%, n=101). Non-oncologic patients were older than oncologic patients (84.0 vs. 76.8 years, p=0.02), and showed a higher degree of functional dependence (p<0.001) and mortality (87.1% vs. 53.3%, p<0.001). The two most common non-oncologic categories of primary diagnoses were pulmonary and neurologic diseases: 19% each. Certain secondary diagnoses had a higher incidence with non-oncologic than oncologic patients, such as pulmonary disease (39% vs. 24%, p=0.02) and dementia (38% vs. 8%, p<0.001). The Charlson comorbidity index was found to be higher for oncologic patients than for non-oncologic patients (6.6 vs. 4.1, p=0.001). Non-oncologic patients also experienced more dysphagia (57% vs. 17%, p<0.001), NPO (43% vs. 12%, p<0.001), and tube or parenteral feeding (31% vs. 9%, p=0.001). Oncologic patients experienced more often symptoms of pain, constipation, agitation, diarrhea, vomiting, and nausea. CONCLUSION:There are clinically relevant differences between oncologic and non-oncologic palliative geriatric inpatients regarding the constellation of symptoms, care, mortality, and the prevalence of concerns about hydration and feeding. These differences ought to be taken into account for further education, as well as further improvement of the healthcare system, to enable an appropriate standard of palliative care for geriatric patients.
journal_name
Z Gerontol Geriatrjournal_title
Zeitschrift fur Gerontologie und Geriatrieauthors
Genz H,Jenetzky E,Hauer K,Oster P,Pfisterer MHdoi
10.1007/s00391-010-0148-zsubject
Has Abstractpub_date
2010-12-01 00:00:00pages
369-75issue
6eissn
0948-6704issn
1435-1269journal_volume
43pub_type
杂志文章abstract：:Nutritional problems and deficiencies are widespread in geriatric institutions. On the other hand, benefits of different interventions to improve the nutritional situation of elderly people--from amelioration of mealtime ambience to the use of artificial nutrition--have been shown in many studies. In recent years, sev...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-011-0174-5
更新日期：2011-04-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,meta分析
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更新日期：2020-12-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-002-0065-x
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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doi：
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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更新日期：2009-12-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-011-0282-2
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s003910050087
更新日期：1999-04-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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更新日期：2003-06-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
abstract：:From its origin to its death the human organism is submitted to functional, material, and morphological changes that are perceptible. These changes permit classifying an individual as young, adult, old, active or infirm. But this estimation is not always correct. Some appear younger, some older than expected from thei...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章,评审
doi：10.1007/s003910070011
更新日期：2000-01-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-015-0948-2
更新日期：2016-08-01 00:00:00
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journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-014-0838-z
更新日期：2015-12-01 00:00:00
abstract：:The European Academy for Medicine of Ageing was founded in 1995 by a nucleus group of European professors: Duursma (Utrecht, NL), Evans (Oxford, GB), Michel (Geneve, CH) and Stähelin (Basel, CH). The aim was to get an adequate postgraduate training under the auspices of an international faculty. A whole curriculum con...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-005-1113-0
更新日期：2005-09-01 00:00:00
abstract：BACKGROUND:Little is known about the prevalence of falls and the related risk factors in the general population of community-living older people in Germany. OBJECTIVES:To assess the prevalence and related predictors of different types of falls in a sample of community-dwelling 65 years and older people in Germany livi...
journal_title：Zeitschrift fur Gerontologie und Geriatrie
pub_type： 杂志文章
doi：10.1007/s00391-008-0506-2
更新日期：2009-02-01 00:00:00
