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Korean J Crit Care Med > Volume 25(1); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(1): 16-20. doi: https://doi.org/10.4266/kjccm.2010.25.1.16
전국 의료기관의 연명치료 대상자 입원 현황
배종면ㆍ공주영*ㆍ이재란*ㆍ허대석ㆍ고윤석†
한국보건의료연구원, *보건복지가족부 생명윤리안전과, †울산대학교 의과대학 호흡기내과학교실
A Survey of Patients Who Were Admitted for Life-Sustaining Therapy in Nationwide Medical Institutions
Jong Myon Bae, Joo Young Gong, Jae Ran Lee, Dae Seog Heo, Younsuck Koh
1National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
2Division of Bioethics and Safety, Ministry for Health, Welfare, and Family Affairs, Seoul, Korea.
3Department of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Seoul, Korea. yskoh@amc.seoul.kr
ABSTRACT
BACKGROUND: The study focused on figuring out the present status and distribution of the underlying diseases of Korean terminally ill patients (TIP) who were on life-support care (LSC) by conducting a nationwide health care survey. METHODS: The authors of this study requested that the 308 nationwide hospitals that operate intensive care units answer a questionnaire that asked about the number of admitted TIPs and their underlying diseases at 12 Am, 22 July, 2009. The proportion of TIPs among all the admitted patients and the percentages of the TIP's underlying diseases were calculated. RESULTS: In a total of 83.1% of the eligible hospitals responded, the proportion of TIP was 1.6 of 100 admitted patients. Terminal cancer was the leading underlying disease in the TIPs (42.4%). Five % of the patients on LSC were brain dead. More TIPs were admitted in the national/public or university hospitals than in the private or non-university hospitals. CONCLUSIONS: Futile treatment seems to be administered to the TIPs in Korean hospitals. The quality of terminal care in Korean hospitals should be improved by the application of socially acceptable LSC guidelines. Timely government health plans, including hospice care, to improve the quality of palliative care should be launched and maintained.
Key Words: brain death; futile treatment; health care survey; life support care; palliative care; terminal care
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