- 期刊
Comparison of Outcomes of Blood Transfusion in Non-hospice and Hospice Terminal Cancer Patients in a District Hospital
某區域醫院癌症與安寧病人輸血效益的比對研究
摘要
Background and Purpose: The aim of this research was to explore possible beneficial effects of blood transfusion for anemic terminal cancer patients with or without hospice care. Methods: Cancer patients admitted to a district hospital in the Hsintien area from January to April 2001 and who received blood transfusion were enrolled, and their clinical presentations were recorded. The post-transfusion presentation including any adverse reaction to the blood transfusion was also recorded. All patients were followed-up for 6 months. Results: There were only a few minor adverse reactions related to the transfusion. Both the non-hospice and hospice cancer patients reported improvement in symptoms, but the difference between the 2 groups was not significant. There was a significant difference in survival duration between the 2 groups (p＜0.005). The non-hospice group survived longer. Conclusion: Blood transfusion can improve the symptoms related to anemia in cancer patients, and only a few adverse reactions to the transfusions were observed. Both groups showed similar degree of improvement with blood transfusion. According to our results, the decision to transfuse by a well-trained doctor and a terminal cancer patient should be respected.
並列摘要
Background and Purpose: The aim of this research was to explore possible beneficial effects of blood transfusion for anemic terminal cancer patients with or without hospice care. Methods: Cancer patients admitted to a district hospital in the Hsintien area from January to April 2001 and who received blood transfusion were enrolled, and their clinical presentations were recorded. The post-transfusion presentation including any adverse reaction to the blood transfusion was also recorded. All patients were followed-up for 6 months. Results: There were only a few minor adverse reactions related to the transfusion. Both the non-hospice and hospice cancer patients reported improvement in symptoms, but the difference between the 2 groups was not significant. There was a significant difference in survival duration between the 2 groups (p＜0.005). The non-hospice group survived longer. Conclusion: Blood transfusion can improve the symptoms related to anemia in cancer patients, and only a few adverse reactions to the transfusions were observed. Both groups showed similar degree of improvement with blood transfusion. According to our results, the decision to transfuse by a well-trained doctor and a terminal cancer patient should be respected.