Southern Adelaide Palliative Service, Flinders Medical Centre, Adelaide, AU-SA, Australia.
Research Centre for Palliative Care, Death and Dying, Flinders University, Adelaide, AU-SA, Australia.
Am J Hosp Palliat Care. 2024 Oct;41(10):1127-1131. doi: 10.1177/10499091231226299. Epub 2024 Jan 9.
Patients are frequently admitted to hospital in the last year of life. Actively recognising patients at this stage gives the opportunity to plan future care.
We performed a cross-sectional survey of all acute medical and surgical inpatients at one tertiary hospital. Two simple screening tools, the and the identified a group of patients at greatly increased risk of dying over the next year.
The one-year mortality of the study group was 27%, however was 52% and 65% for those identified at risk by the and tools. The had an area under the receiver operator curve value of .84.
These screening tools could be used to help clinicians identify hospital inpatients that would benefit from advance care planning and a tailored approach to their care.
患者在生命的最后一年经常住院。在这一阶段积极识别患者，为规划未来的护理提供了机会。
我们对一家三级医院的所有急性内科和外科住院患者进行了横断面调查。两个简单的筛查工具， 和 ，确定了一组在未来一年内死亡风险大大增加的患者。
研究组的一年死亡率为 27%，但 和 工具识别出的高危患者的死亡率分别为 52%和 65%。 的受试者工作特征曲线下面积值为.84。
这些筛查工具可用于帮助临床医生识别住院患者，这些患者将受益于预先护理计划和针对他们的护理的针对性方法。
