{"title":"Screening for End-of-Life in Acute Hospitals: A Cross-Sectional Survey.","authors":"Timothy To, Paul Hakendorf, David C Currow","doi":"10.1177/10499091231226299","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>We performed a cross-sectional survey of all acute medical and surgical inpatients at one tertiary hospital. Two simple screening tools, the <i>indicators for a palliative approach</i> and the <i>surprise question</i> identified a group of patients at greatly increased risk of dying over the next year.</p><p><strong>Results: </strong>The one-year mortality of the study group was 27%, however was 52% and 65% for those identified at risk by the <i>indicators for a palliative approach</i> and <i>surprise question</i> tools. The <i>surprise question</i> had an area under the receiver operator curve value of .84.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":94222,"journal":{"name":"The American journal of hospice & palliative care","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The American journal of hospice & palliative care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/10499091231226299","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/9 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: 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.
Methods: We performed a cross-sectional survey of all acute medical and surgical inpatients at one tertiary hospital. Two simple screening tools, the indicators for a palliative approach and the surprise question identified a group of patients at greatly increased risk of dying over the next year.
Results: The one-year mortality of the study group was 27%, however was 52% and 65% for those identified at risk by the indicators for a palliative approach and surprise question tools. The surprise question had an area under the receiver operator curve value of .84.
Conclusion: 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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
