Identifying palliative care needs in a Portuguese liver unit
| Autor: | Narcisa Fatela, Joana Rita Carvalho, M. Raimundo, Mariana Vasconcelos, Fernando Silva Ramalho, Sofia Carvalhana, Helena Cortez-Pinto, Rui Tato Marinho, Pedro Marques da Costa, José Velosa |
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| Rok vydání: | 2017 |
| Předmět: |
Liver Cirrhosis
Male medicine.medical_specialty Palliative care Cirrhosis Referral Chronic liver disease Patient Care Planning 03 medical and health sciences Liver disease 0302 clinical medicine Intervention (counseling) Surveys and Questionnaires Health care medicine Humans 030212 general & internal medicine Hospital Mortality Prospective Studies Intensive care medicine Aged Health Services Needs and Demand Hepatology Portugal business.industry Palliative Care Middle Aged medicine.disease Logistic Models ROC Curve 030211 gastroenterology & hepatology Observational study Female business |
| Zdroj: | Liver international : official journal of the International Association for the Study of the Liver. 38(11) |
| ISSN: | 1478-3231 |
| Popis: | BACKGROUND & AIMS Chronic liver disease is a major worldwide cause of morbidity and mortality. Palliative care policies are not clearly established in chronic liver disease. The NECPAL CCOMS-ICO© (NECesidades PALiativas/Palliative Needs) is a tool to identify palliative care needs, including a section for liver disease. AIM The aim of this study was to identify palliative care needs in liver patients hospitalised in a tertiary referral Liver Unit. METHODS Single-centre prospective observational study. One hundred and twenty patients with cirrhosis were included and NECPAL questionnaire was applied to all patients in a 7-month period. RESULTS 84.2% of patients were considered as requiring palliative intervention; however, clinicians identified those needs only in 65.8% of the cases and caregivers in 6.7% of the cases; less than 8% of the patients were referred for palliative care consultation. An excessive use of healthcare resources (positive answer to question 3) was strongly associated with a positive need for palliative care (positive NECPAL): OR 7.305, CI 95% 2.54-20.995, P |
| Databáze: | OpenAIRE |
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