Palliative care consultation team: symptom relief in first 48 hours of hospitalization

Abstract

Objective: To compare the relief of symptoms provided by palliative care consultation team (PCCT) compared to the traditional care team (TC), in patients with advanced cancer in the first 48 hours of hospitalization. Method: Allocated to PCCT Group and TC Group, this study assessed 290 patients according to the Edmonton Symptom Assessment System (ESAS) within the first 48 hours of hospitalization. The main outcome was a minimum 2-point reduction in symptom intensity. Results: At 48 hours, the PCCT Group had a 2-point reduction in the mean differences (p <0.001) in pain, nausea, dyspnea, and depression; and TC Group, on nausea and sleep impairment (p <0.001). Multiple Logistic Regression found for the PCCT Group a greater chance of pain relief (OR 2.34; CI 1.01-5.43; p = 0.049). Conclusion: There was superiority of the PCCT Group for pain relief, dyspnea and depression. There is a need for more studies that broaden the understanding of team modalities.

Clinical applicability of the terminological subset of palliative care for dignified dying

“…Patients in palliative care have intense symptoms that are difficult to control, and hospitalization is an option to provide comfort (13) . The very similar distribution among female patients and those with a hospital stay of more than seven days, including hospitalizations of more than one month, was also identified in a study that described the clinical and sociodemographic profile of patients hospitalized in palliative care (14) , which reflects the assertiveness of the selection of participants in this research.…”