Prevalence and mortality of patients with palliative needs in an acute respiratory setting

Huguet, Eva Tabernero; Antia, Borja Ortiz De Urbina; Quero, Beatriz Gonzalez; Llorente, Elena Garay; Iturrate, Joseba Andia; Fernández, Silvia Pérez; Larrauri, Ana Gomez; Pascual, Milagros Iriberri

doi:10.1016/j.arbr.2021.03.007

Cited by 2 publications

(2 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Four observational studies evaluated the clinical performance of NECPAL in multiple settings (eg, hospital, nursing home and primary care centre) NECPAL was used by either physicians or nurses. [49][50][51] Four observational studies reported the clinical performance of TW-PCST. [52][53][54][55] These studies were conducted in hospitals settings, with follow-up periods ranging from 3 months to 12 months.…”

Section: Resultsmentioning

confidence: 99%

Screening instruments for early identification of unmet palliative care needs: a systematic review and meta-analysis

Xie,

Ding,

Jiao

et al. 2023

BMJ Support Palliat Care

View full text Add to dashboard Cite

BackgroundThe early detection of individuals who require palliative care is essential for the timely initiation of palliative care services. This systematic review and meta-analysis aimed to (1) Identify the screening instruments used by health professionals to promote early identification of patients who may benefit from palliative care; and (2) Assess the psychometric properties and clinical performance of the instruments.MethodsA comprehensive literature search was conducted in PubMed, Embase, CINAHL, Scopus, CNKI and Wanfang from inception to May 2023. We used the COnsensus-based Standards for the Selection of Health Measurement INstruments to assess the methodological quality of the development process for the instruments. The clinical performance of the instruments was assessed by narrative summary or meta-analysis. Subgroup analyses were conducted where necessary. The quality of included studies was assessed using the Newcastle-Ottawa Scale and the Cochrane Collaboration’s risk of bias assessment tool.ResultsWe included 31 studies that involved seven instruments. Thirteen studies reported the development and validation process of these instruments and 18 studies related to assessment of clinical performance of these instruments. The content validity of the instruments was doubtful or inadequate because of very low to moderate quality evidence. The pooled sensitivity (Se) ranged from 60.0% to 73.8%, with high heterogeneity (I2 of 88.15% to 99.36%). The pooled specificity (Sp) ranges from 70.4% to 90.2%, with high heterogeneity (I2 of 96.81% to 99.94%). The Supportive and Palliative Care Indicators Tool (SPICT) had better performance in hospitals than in general practice settings (Se=79.8% vs 45.3%, p=0.004; Sp=59.1% vs 97.0%, p=0.000).ConclusionThe clinical performance of existing instruments in identifying patients with palliative care needs early ranged from poor to reasonable. The SPICT is used most commonly, has better clinical performance than other instruments but performs better in hospital settings than in general practice settings.

show abstract

Section: Resultsmentioning

confidence: 99%

Screening instruments for early identification of unmet palliative care needs: a systematic review and meta-analysis

Xie,

Ding,

Jiao

et al. 2023

BMJ Support Palliat Care

View full text Add to dashboard Cite

show abstract

“…Existen múltiples formas para poder identificar la necesidad de la atención paliativa, entre ellas, el dolor al realizar actividades habituales, la disnea en reposo y la disminución de las habilidades cotidianas. De igual forma, la pregunta sorpresa: «¿Le sorprendería que su paciente falleciera en los siguientes 12 meses?» ha sido implementada para la detección de pacientes paliativos, pero su aporte es limitado, sin embargo, al incorporarla en la escala de Necesidades Paliativas (NECPAL) 20 , demuestra ser una herramienta de utilidad para detectar pacientes con enfermedad crónica avanzada y necesidades paliativas 21 . Sin embargo, es necesaria la estandarización de instrumentos para identificar la necesidad de atención paliativa, pues implica una barrera para instaurarla de manera temprana 22 .…”

Section: Sensitivity Of Scales As Prognostic Indicators and Palliativ...unclassified

Sensibilidad de escalas como pronóstico y necesidades paliativas en adultos mayores con enfermedad no oncológica.

Rosas¹,

Gómez²

2023

Alerta (San Salvador)

View full text Add to dashboard Cite

Los cuidados paliativos tienen un enfoque multidisciplinario que mejora la calidad de vida. Tradicionalmente se centraron en pacientes oncológicos, sin embargo, pueden usarse en pacientes con cronicidad avanzada, en quienes existe falta de instrumentos validados para evaluar y determinar la atención paliativa. El objetivo de este estudio es describir la sensibilidad de las escalas NECPAL, PROFUND y Charlson para evaluar y determinar la mortalidad, y atención paliativa en adultos mayores con enfermedad crónica no oncológica mediante una revisión narrativa en las bases de datos BMJ, Elsevier, PubMed, HINARI y SciELO. Se incluyeron artículos originales, de revisión y ensayos clínicos en español e inglés, publicados en los últimos cinco años. La escala NECPAL permite identificar a los pacientes candidatos a cuidados paliativos y mide la prevalencia de personas con necesidad paliativa. El índice PROFUND es una puntuación pronóstica multidimensional que estima el riesgo de mortalidad a un año en pacientes con cronicidad avanzada. Como herramienta pronóstica evalúa el riesgo de mortalidad a treinta días. El índice de comorbilidad de Charlson, creado para predecir el riesgo de mortalidad a un año posterior a la hospitalización, es un excelente predictor en pacientes hospitalizados, no requiere pruebas de laboratorio y es aplicable en diversos escenarios clínicos.

show abstract

Prevalence and mortality of patients with palliative needs in an acute respiratory setting

Cited by 2 publications

References 19 publications

Screening instruments for early identification of unmet palliative care needs: a systematic review and meta-analysis

Screening instruments for early identification of unmet palliative care needs: a systematic review and meta-analysis

Sensibilidad de escalas como pronóstico y necesidades paliativas en adultos mayores con enfermedad no oncológica.

Contact Info

Product

Resources

About