Nononcological Advanced Chronic Disease and Palliative Needs: Survival Analysis

Autor: Cristina Morán-Tiesta, Lara Sanz-Ventureira, Paula Jiménez-Domene, Pilar Aira-Ferrer, Jose Manuel Cano-Gonzalez, María Belén Martínez-Cruz, Eva María Sanz-Peces, Genoveva Diaz-Sierra, Begoña Sedano-SanLlorente, María Sánchez-Isac, Juan Carlos Gil-Moreno, Isabel Del Cura-González, Cristina De Miguel-Sánchez, ECANO Group
Rok vydání: 2022
DOI: 10.21203/rs.3.rs-1272961/v1
Popis: Background: Professionals who care for patients with advanced chronic nononcological disease need accurate prognostic tools. There are validated prognostic indices for nononcological pathology in the fields of internal medicine (PALIAR and PROFUND indices) and palliative care (PPI indices, PaP score, ECOG, PPS, KI). The objective of this study is to describe survival and analyzsed factors associated with mortality in advanced chronic nononcological disease patients in palliative care services in the Community of Madrid.Methods: Multilongitudinal observational study of a prospective cohort with a 6-month follow-up. Sociodemographic, clinical, analytical, service use, functionality, and prognostic indices were measured. Survival was analysed at 3 and 6 weeks and at 1, 2, 3, 4, 5, and 6 months through Kaplan–Meier curves. After the bivariate analysis, a Cox proportional-hazards multivariate regression analysis was performed. Results: 217 patients were included. The mean age (SD) was 78.8 (12.6), and 47.5% were women. Some 129 patients died. Mean survival (SD) at 6 months was 146.12 (130.14) days, median (IQR) survival 111.5 (17.50-254.50). All prognostic indices (PALIAR p
Databáze: OpenAIRE