The Time Course Distribution of Ventilator-Dependent Patients From Receiving Tranquility to Death

Background:

Taylor and others analyzed that cancer patients join tranquility care, the average annual savings before death is US $2,309, and the largest saving is US $750 on the day of death. The later join tranquility care, the higher the medical expenses. The previous research and analysis of cancer patients, only one-tenth of the last stage patients received tranquility care within one year before death, and one-quarter of them intervened within one week before death. The intervention time of tranquility is too short to allow family members and patients to be fully prepared for the best benefit of tranquility care. Research suggests that intervention should be conducted three months before death. In 2011, Taiwan National Health Insurance launched the tranquility care pilot project, which also included patients with ventilator dependence as the target of payment. Therefore, we use Taiwan National Health Insurance database to analyze the time course distribution of ventilator-dependent patients from receiving tranquility to death.

Methods:

We used Taiwan National Health Insurance database (from 2005 to 211) to analyze the time course distribution of ventilator-dependent patients (over 18 years of age, ventilator use > 20 days and interruption ≤5 days), from received the tranquility care to death.

Results:

A total of 113,278 ventilator-dependent patients from 2005 to 2011, but only 555 people received tranquility care, and the intervention rate of tranquility was 0.49%; only 179 patients with long-term ventilator dependence who received tranquility care for more than 90 days accounted for all joined tranquility care 32% of the population.

Conclusions:

A total of 113,278 ventilator-dependent patients from 2005 to 2011, but only 555 people received tranquility care, and the intervention rate of tranquility was 0.49%; only 179 patients with long-term ventilator dependence who received tranquility care for more than 90 days accounted for all joined tranquility care 32% of the population.

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