圣保罗一家巴西医院中接受姑息治疗团队治疗的癌症患者的生存率。
Survival of cancer patients under treatment with the palliative care team in a Brazilian hospital in São Paulo.
作者信息
de Camargo Júlia Drummond, Delponte Valéria, Costa Adriana Zancheta Sousa, da Silva Souza Regina Claudia
机构信息
Nurse, Oncology Department, Hospital Sírio Libanês.
Nurse, Palliative Care Service, Hospital Sírio Libanês.
出版信息
Can Oncol Nurs J. 2022 Apr 1;32(2):182-189. doi: 10.5737/23688076322182189. eCollection 2022 Spring.
INTRODUCTION
The Karnofsky Performance Status Scale is a relevant functional evaluation instrument that can be used to determine which patients should be followed by multidisciplinary palliative care teams.
OBJECTIVE
To analyze the clinical outcomes of patients with performance status lower than 70%, according to the Karnofsky Scale, who received care from a palliative care team compared to those who did not receive care from a palliative care team.
METHODS
In this retrospective cohort, follow-up of cancer patients by the palliative care team for 10 days was considered the exposure factor, while the dependent variable was patient survival. Data were extracted from medical records and descriptive and survival curve analyses were conducted.
RESULTS
Among 581 participants in the sample, 42.5% had metastasis, and the most prevalent medical diagnosis was gastrointestinal cancer (29.1%). Fifty-one (8.7%) were followed by the palliative care team. The mortality rate during the 10 days in the sample was 10.8%, and the rate was higher (15.7%) among patients followed by the palliative care team.
CONCLUSION
Patients with a performance status below 70% who were followed by the palliative care team had poorer clinical conditions and a shorter survival than those who were not followed up by the team.
引言
卡诺夫斯基功能状态量表是一种相关的功能评估工具，可用于确定哪些患者应由多学科姑息治疗团队进行随访。
目的
根据卡诺夫斯基量表，分析功能状态低于70%且接受姑息治疗团队护理的患者与未接受姑息治疗团队护理的患者的临床结局。
方法
在这项回顾性队列研究中，姑息治疗团队对癌症患者进行10天的随访被视为暴露因素，而因变量是患者的生存率。从医疗记录中提取数据，并进行描述性分析和生存曲线分析。
结果
在样本中的581名参与者中，42.5%有转移，最常见的医学诊断是胃肠道癌（29.1%）。51名（8.7%）患者接受了姑息治疗团队的随访。样本中10天内的死亡率为10.8%，接受姑息治疗团队随访的患者死亡率更高（15.7%）。
结论
功能状态低于70%且接受姑息治疗团队随访的患者，其临床状况比未接受该团队随访的患者更差，生存期更短。
Zotero 插件