Publications by authors named "Rena Kamura"
Patients with life-limiting illnesses frequently experience urinary difficulties, and urinary catheterization is one of the interventions for managing them. However, evidence supporting the effects of urinary catheters on the quality of death (QoD) is lacking in this population. To investigate whether urinary catheterization affects QoD in patients with advanced cancer in palliative care units.
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- The study investigates which factors predict the onset of dyspnea (difficulty breathing) in terminally ill cancer patients within a week of their admission to hospice or palliative care.
- The analysis included 1,159 patients and found that factors like primary lung cancer, a low Karnofsky Performance Status score (≤40), and the presence of ascites were significantly associated with developing dyspnea.
- The researchers suggest that these factors could help identify patients at risk for dyspnea, but they emphasize the need for more studies to confirm the results.
Purpose: To investigate the efficacy of two types of palliative sedation: proportional and deep sedation, defined by sedation protocols.
Methods: From a multicenter prospective observational study, we analyzed the data of those patients who received the continuous infusion of midazolam according to the sedation protocol. The primary endpoint was goal achievement at 4 hours: in proportional sedation, symptom relief (Integrated Palliative care Outcome Scale: IPOS ≤ 1) and absence of agitation (modified Richmond Agitation-Sedation Scale: RASS ≤ 0); in deep sedation, the achievement of deep sedation (RASS ≤ -4).
Background: Studies on the appropriate use of urinary catheters for cancer patients at the end of life are limited.
Aim: To clarify the differences among institutions in the prevalence of and indications for urinary catheterization of advanced cancer patients at palliative care units.
Design: Pre-planned secondary analysis of a multicenter, prospective cohort study; East-Asian collaborative cross-cultural Study to Elucidate the Dying process (EASED).