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Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting.
Wang, Samuel Shih-Chih; Huang, Chao-Ming; Feng, Rung-Chuang; Wu, Yi-Ling; Huang, Sheng-Jean.
Afiliação
  • Wang SS; Department of Health and Welfare, University of Taipei, Taipei, Taiwan.
  • Huang CM; Taipei City Hospital, Taipei, Taiwan.
  • Feng RC; Taipei City Hospital, Taipei, Taiwan.
  • Wu YL; Taipei City Hospital, Taipei, Taiwan.
  • Huang SJ; Taipei City Hospital, Taipei, Taiwan; College of Medicine, National Taiwan University, Taipei, Taiwan. Electronic address: DAW15@tpech.gov.tw.
J Formos Med Assoc ; 118(5): 883-890, 2019 May.
Article em En | MEDLINE | ID: mdl-30502101
BACKGROUND/PURPOSE: Very few studies have investigated the screening tools that aim to identify the need of palliative care services among patients with advanced cancer or chronic non-malignant diseases. This study validated the one-page Taiwanese version-Palliative Care Screening Tool (TW-PCST) for screening inpatients with potential palliative care needs. METHOD: ROC curves were produced to examine the sensitivities and specificities at varying cut-off points. The optimal cut-off value to predict mortality was justified using the Youden's index. The screening was conducted on the first day of admission. Patients were prospectively followed-up after the baseline assessment. Three followed-up periods, namely 14 days, 90 days, and 180 days were analyzed. RESULTS: A total of 21,596 patients were screened. AUCs for all cut-off scores varied from 0.84 to 0.88. A total-ABCD score ≥2 gave the highest Youden's index for 90 days and 180 days follow-up periods. The optimal cut-point for 14 days was score ≥3. CONCLUSION: The TW-PCST demonstrated a good sensitivity and specificity in identification of inpatients with palliative care needs. A total-ABCD score ≥2 may be considered as a trigger for further referral.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Doença Crônica / Avaliação das Necessidades / Pacientes Internados / Neoplasias Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Doença Crônica / Avaliação das Necessidades / Pacientes Internados / Neoplasias Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Ano de publicação: 2019 Tipo de documento: Article