Identification of palliative care requirement in hospital inpatients in internal medicine services in a peruvian reference hospital

Autor: Annie Velasquez-Manrique, Claudia Benavides-Luyo, Susan Chaupi-Rojas, Sandra Andahua-Inuma, Manuel Andrade-Acuña, Rubén Sánchez-Ruiz, Alonso Soto
Jazyk: Spanish; Castilian
Rok vydání: 2023
Předmět:
Zdroj: Revista de la Facultad de Medicina Humana, Vol 23, Iss 1, Pp 52-60 (2023)
Druh dokumentu: article
ISSN: 1814-5469
2308-0531
DOI: 10.25176/RFMH.v22i3.4621
Popis: Introduction:Hospitals of greater complexity tend to care for patients with advanced chronic diseases, which is why it is important to recognize the need for palliative care. Objective: To identify the proportion of patients who require palliative care in the medicine department of a Peruvian referral hospital. Methods: Observational, analytical, cross-sectional study. All hospitalized patients were studied in the Department of Internal Medicine of the Peruvian hospital during the period April-May 2018. To determine the need for palliative care, the NECPAL CCOMS-ICO © instrument was used. The quantitative variables are presented as median and interquartile range (IQR); and numerical variables, such as frequencies and percentages. For the comparison of numerical variables, the Mann Whitney test was used and the chi-square test for categorical variables. Results: They were evaluated in 281, where 102 (37.9%) required palliative care. The median age in patients requiring palliative care was 69.5 (IQR: 58-81) years. The median hospital stay in patients with and without the need for palliative care was 7 days (IQR: 4-11) and 9 days (IQR: 5-19) respectively, the mortality in patients with and without the need for palliative care was 37.25% and 4.19% respectively. Conclusions: There is a high frequency of need for palliative care in patients hospitalized in internal medicine wards, the requirementforpalliativecarewasassociatedwithhighermortalityandhospitalstay,whichevidencestheneedfor comprehensive and personalized care based on medical services specialized.
Databáze: Directory of Open Access Journals
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