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Artificial nutrition and hydration in terminal cancer patients: the real and the ideal

Cited 14 time in Web of Science Cited 12 time in Scopus
Authors
Oh, Do-Youn; Kim, Jee Hyun; Lee, Se Hoon; Kim, Dong-Wan; Im, Seock-Ah; Kim, Tae-You; Heo, Dae Seog; Bang, Yung-Jue; Kim, Noe Kyeong
Issue Date
2007-06
Publisher
Springer Verlag
Citation
Supportive Care in Cancer, Vol.15 No.6, pp.631-636
Keywords
terminal cancernutritionhydrationartificialintravenoussupportive care
Abstract
Introduction: To better understand current practice relating to artificial nutrition/hydration in terminal cancer patients, we enrolled terminal cancer patients who were admitted at Seoul National University Boramae Hospital for supportive care only and who died with a duration of hospital stay to death of more than 1 week between 2003 and 2004. We detailed oral intake and intravenous nutrition/hydration status on admission, 1 week after admission, and 2 days before death. Administered calories and changes in these according to time and "DNR" (do-not-resuscitate) status were noted. Results: Of the total 165 patients, oral intake was possible in 84 patients (50.9%) on admission, in 79 patients (47.8%) on 1 week after admission, and in 29 patients (17.5%) 2 days before death (p < 0.01). Intravenous nutrition/hydration was administered to 133 patients (80.6%) on admission, to 125 patients (75.7%) at I week, and to 137 patients (83.0%) 2 days before death (p=0.7). The calories administered to the patient by oral intake were 393 kcal on admission, 353 kcal I week after admission, and 89 kcal 2 days before death. In addition, the calories delivered by intravenous fluid were 369, 386 and 465 kcal, respectively. Near to death, calories by oral intake continuously reduced (p < 0.01) and intravenous calories continuously increased (p=0.04), but total administered calories reduced (p=0.03). Intravenous nutrition/hydration stopped after the attainment of the advance directive of DNR in 9% of patients. Conclusion: This study showed the high prevalence of artificial nutrition/hydration, especially intravenous infusion, in Korean terminal cancer patients compared with situation in other countries. More studies are needed to verify the efficacy of artificial nutrition/hydration in terminal cancer patients.
ISSN
0941-4355
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17102940

http://hdl.handle.net/10371/24566
DOI
https://doi.org/10.1007/s00520-006-0184-9
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
College of Medicine/School of Medicine (의과대학/대학원)Cancer Research Institute (암연구소)Journal Papers (저널논문_암연구소)
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