Triggering palliative care referrals through the identification of poor prognosis in older patients presented to emergency departments in rural Australia.

Autor:	Pitman, Steven, Mason, Naomi, Cardona, Magnolia, Lewis, Ebony, O'Shea, Michael, Flood, Jacinta, Kirk, Mindy, Seymour, Jenny, Duncan, Anne
Předmět:	MORTALITY risk factors WELL-being TERMINAL care HOSPITAL emergency services CRITICALLY ill PATIENTS MEDICAL screening INTERVIEWING MEDICAL referrals QUALITY of life QUESTIONNAIRES CHI-squared test SENSITIVITY & specificity (Statistics) STATISTICAL sampling PALLIATIVE treatment MEDICAL needs assessment LONGITUDINAL method
Zdroj:	International Journal of Palliative Nursing; Feb2023, Vol. 29 Issue 2, p83-90, 8p
Abstrakt:	Background: Without objective screening for risk of death, the palliative care needs of older patients near the end of life may be unrecognised and unmet. Aim: This study aimed to estimate the usefulness of the Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL) tool in determining older patients' risk of death within 3-months after initial hospital admission. Methods: A prospective cohort study of 235 patients aged 70+ years, who presented to two rural emergency departments in two adjacent Australian states, was utilised. The 'risk of death' of each patient was screened with the CriSTAL prognostic tool. Their 3-month follow-up outcomes were assessed through telephone interviews and a clinical record review. Findings: A CriSTAL cut-off score of more than 7 yielded a sensitivity of 80.7% and specificity of 70.81% for a 3-month risk of death. Palliative care services were only used by 31% of the deceased in their last trimester of life. Conclusion: Prognostic tools provide a viable means of identifying individuals with a poor prognosis. Identification can trigger an earlier referral to palliative care, which will benefit the patient's wellbeing and quality of life. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu