Establecimiento de la situación de enfermedad terminal en enfermedades oncológicas y no oncológicas: estudio retrospectivo con historias clínicas

Campos-Calderón, Concepción; Montoya‐Juárez, Rafael; Alfaya-Góngora, María del Mar; Gorlat-Sánchez, Berta; Hueso‐Montoro, César; García‐Caro, María Paz

doi:10.1016/j.medipa.2015.04.002

Cited by 9 publications

(6 citation statements)

References 31 publications

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“…Así pues, Hewison y col 7 señalaron que los profesionales que trabajaban en unidades no especializadas de cuidados paliativos de hospitales de agudos, experimentaban dificultades relacionadas con la identificación de la fase terminal de una enfermedad. Un estudio reciente realizado en España señala que los profesionales de hospitales de agudos tienen también dificultades para identificar y registrar situaciones de esta naturaleza en la historia clínica 8 . Relacionado con esto, los mismos autores, en un estudio posterior, muestran las dificultades de los profesionales para cambiar los objetivos terapéuticos y el contenido del cuidado de acuerdo a la situación de fin de vida de sus pacientes en estos centros 9 .…”

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Perceptions of health care professionals about end-of-life care, obstacles and ethical dilemmas in hospitals, primary care and nursing homes.

Mancilla

Montoya‐Juárez²,

Martí‐García³

et al. 2018

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Perceptions of health care professionals about end-of-life care, obstacles and ethical dilemmas in hospitals, primary care and nursing homes.

Mancilla

Montoya‐Juárez²,

Martí‐García³

et al. 2018

An Sist Sanit Navar

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“…Thus, there are different studies in which patient follow-up has been performed, comparing patients with positive and negative responses, showing significant statistical differences in mortality. The usefulness of the NECPAL CCOMS-ICO© instrument has been shown in different studies, in which the application of the NECPAL instrument shows which people are subsidiary to palliative care [ 43 , 44 ]. Furthermore, this work has verified the existence of a statistically significant relationship between the results in NECPAL CCOMS-ICO© and the fact that the patient died before 12 months of admission to our Unit, which results in the usefulness of NECPAL CCOMS-ICO© in identifying patients with HF who need palliative care.…”

Section: Discussionmentioning

confidence: 99%

Palliative Care Needs and Clinical Features Related to Short-Term Mortality in Patients Enrolled in a Heart Failure Unit

et al. 2022

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(1) Background: Heart failure (HF) is a chronic and complex pathology requiring continuous patient management due to clinical instability, associated comorbidity, and extensive pharmacological treatment. Its unpredictable course makes the advanced stages challenging to recognize and raises the need for palliative care. This study aims to identify palliative care needs in HF patients and describe clinical features related to short-term mortality. (2) Methods: A descriptive, observational, cross-sectional, and retrospective study was carried out in an HF unit of a Spanish tertiary hospital. Patients’ socio-demographic and clinical data were collected from clinical records, and different instruments were used to establish mortality risks and patients’ needs for palliative care. Subsequently, univariate and bivariate descriptive analyses were performed. A binary logistic regression model helped to determine variables that could influence mortality 12 months after admission to the Unit. (3) Results: The studied population, sixty-five percent women, had an average age of 83.27 years. Among other clinical characteristics predominated preserved ejection fraction (pEF) and dyspnea NYHA (New York Heart Association) class II. The most prevalent comorbidities were hypertension and coronary heart disease. Forty-nine percent had a low–intermediate mortality risk in the following year, according to the PROFUND index. The NECPAL CCOMS-ICO© instrument identified subjects who meet the criteria for palliative care. This predictive model identified NECPAL CCOMS-ICO© results, using beta-blockers (BB) or AIIRA (Angiotensin II receptor antagonists) and low glomerular filtration rate (GFR) as explanatory variables of patients’ mortality in the following year. (4) Conclusions: The analysis of the characteristics of the population with HF allows us to identify patients in need of palliative care. The NECPAL CCOMS-ICO© instrument and the PROFUND have helped identify the characteristics of people with HF who would benefit from palliative management.

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“…Existen cuatro trayectorias evolutivas de la ERCA: reconocerlas permitirá establecer una planificación anticipada de la asistencia 8 . Identificar tempranamente la fase terminal facilita su correcta asistencia en la agonía 9,10 .…”

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Morir por enfermedad renal crónica avanzada en un hospital de apoyo

Egea¹

2019

j.medipa

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Establecimiento de la situación de enfermedad terminal en enfermedades oncológicas y no oncológicas: estudio retrospectivo con historias clínicas

Cited by 9 publications

References 31 publications

Perceptions of health care professionals about end-of-life care, obstacles and ethical dilemmas in hospitals, primary care and nursing homes.

Perceptions of health care professionals about end-of-life care, obstacles and ethical dilemmas in hospitals, primary care and nursing homes.

Palliative Care Needs and Clinical Features Related to Short-Term Mortality in Patients Enrolled in a Heart Failure Unit

Morir por enfermedad renal crónica avanzada en un hospital de apoyo

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