Miranda-Chavez Brayan, Barriga Pablo Carrillo, Flores-Cohaila Javier, Rivarola Hidalgo Marco, Taype-Rondan Alvaro
Facultad de Ciencias de la Salud de la Universidad Privada de Tacna, Tacna, Perú.
Centro de Estudios e Investigación en Educación Médica y Bioética. Universidad Privada de Tacna, Tacna, Perú.
PLoS One. 2025 Mar 31;20(3):e0320228. doi: 10.1371/journal.pone.0320228. eCollection 2025.
To estimate the need for palliative care in deceased patients at the Daniel Alcides Carrión Hospital (Tacna, Peru) during 2023.
An analytical cross-sectional study was conducted with data from adult patients who died in a Peruvian hospital in 2023. Data were collected through the review of death certificates and medical records using the EsSalud Intelligent Health Service. Two methods were used to estimate the need for palliative care: the Rosenwax method (medium estimation) and the Murtagh method (medium-high estimation).
Out of 255 deaths, 239 were analyzed. The median age was 76 years. 58.2% had two or more comorbidities, and only 3.8% had received palliative care previously. According to the Murtagh method, 82.9% of the patients required palliative care, while the Rosenwax method estimated a need of 74.1%. The most common diagnoses requiring palliative care were: neoplasms (33.5%), chronic obstructive pulmonary disease (15.1%), and renal disease (11.3%). An association was found between having two or more comorbidities and a greater need for palliative care.
It was found that between 7 and 8 out of every 10 patients needed palliative care, an estimate higher than in other regions. Additionally, having two or more comorbidities was associated with the need for these services. These findings highlight the urgent need for palliative care services in Peru, suggesting that their proper implementation is crucial for improving end-of-life care.
评估2023年秘鲁塔克纳市丹尼尔·阿尔西德斯·卡里翁医院死亡患者的姑息治疗需求。
采用分析性横断面研究，收集2023年在秘鲁一家医院死亡的成年患者的数据。通过使用EsSalud智能健康服务系统查阅死亡证明和病历收集数据。采用两种方法评估姑息治疗需求：罗森瓦克斯方法（中等估计）和默塔格方法（中高估计）。
在255例死亡病例中，分析了239例。中位年龄为76岁。58.2%的患者有两种或更多合并症，只有3.8%的患者此前接受过姑息治疗。根据默塔格方法，82.9%的患者需要姑息治疗，而罗森瓦克斯方法估计的需求为74.1%。需要姑息治疗的最常见诊断为：肿瘤（33.5%）、慢性阻塞性肺疾病（15.1%）和肾病（11.3%）。发现有两种或更多合并症与对姑息治疗的更大需求之间存在关联。
发现每10名患者中有7至8名需要姑息治疗，这一估计高于其他地区。此外，有两种或更多合并症与对这些服务的需求相关。这些发现凸显了秘鲁对姑息治疗服务的迫切需求，表明其妥善实施对于改善临终关怀至关重要。
