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K. Arakawa



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    P3.10 - Nursing/Palliative Care/Ethics (ID 726)

    • Event: WCLC 2017
    • Type: Poster Session with Presenters Present
    • Track: Nursing/Palliative Care/Ethics
    • Presentations: 1
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      P3.10-007 - Sudden Death of the Patients with Lung Cancer (ID 10504)

      09:30 - 09:30  |  Author(s): K. Arakawa

      • Abstract

      Background:
      We sometimes experience unexpected sudden death (USD) of in-hospital patients, including the patients with lung cancer. However, information of sudden death of the patients with cancer is limited. The aim of this study is to see the prevalence and the tendency of the patients with lung cancer who died unexpected sudden death.

      Method:
      This is a cross sectional study. Those who had lung cancer and died at our hospital from Jan 1st to Dec 31st in 2015 were enrolled. Clinical data, such as age, gender, type of lung cancer, department of chief physician (Palliative care physician or not), place of death (palliative care unit or not), duration between the last chemotherapy and death, symptom (dyspnea, appetite loss, and edema), and blood test (number of lymphocyte, Alb and CRP) were corrected. Unexpected sudden death was defined as the death of which symptom occurred within 1 day without expectance. Patients were divided into two groups, expected death (ED) group and USD group and compared with their background information.

      Result:
      78 subjects were reviewed and their average age at death was 72.9. 54 were male and 24 were female. The proportion of non-small cell carcinoma, small cell carcinoma, and undetermined subject were 71.8%, 6.4%, and 21.8%, respectively. 9.0% (7/78) of them died unexpectedly. Non-specialist of palliative care, dying in general ward, and good appetite were significantly associated with USD. There were no significant different between the two groups in other factors.

      Conclusion:
      Our results emphasize the difficulty of “expecting Unexpected SD” and we have to recognize the fact that almost 10% of the patients with lung cancer died unexpectedly.