Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital

Background The identification of patients with advanced chronic conditions and palliative care needs is essential since their care represents one of the main challenges for public health systems. The study aimed to determine the prevalence and characteristics of inpatients with palliative care needs...

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Autores: Calsina Berna, Agnès, Amblàs-Novellas, Jordi, González Barboteo, Jesús, Bardés Robles, Ignasi, Beas Alba, Elba, Martínez Muñoz, Marisa, Madariaga, Rafa, Gómez Batiste, Xavier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/191811
Acceso en línea:https://hdl.handle.net/2445/191811
Access Level:acceso abierto
Palabra clave:Tractament pal·liatiu
Assistència hospitalària
Malalts crònics
Palliative treatment
Hospital care
Chronically ill
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spelling Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care HospitalCalsina Berna, AgnèsAmblàs-Novellas, JordiGonzález Barboteo, JesúsBardés Robles, IgnasiBeas Alba, ElbaMartínez Muñoz, MarisaMadariaga, RafaGómez Batiste, XavierTractament pal·liatiuAssistència hospitalàriaMalalts crònicsPalliative treatmentHospital careChronically illBackground The identification of patients with advanced chronic conditions and palliative care needs is essential since their care represents one of the main challenges for public health systems. The study aimed to determine the prevalence and characteristics of inpatients with palliative care needs in different services of a tertiary care hospital using the NECPAL CCOMS-ICO (c) tool. Methods A descriptive, cross-sectional cohort study was conducted in a tertiary hospital. The NECPAL tool identifies patients who require palliative care. Any patient with the Surprise Question with the answer NO and at least another question of the tool with a positive answer is considered a positive identification. Patients were classified as Non-NECPAL, NECPAL I-II, and NECPAL III, depending on the NECPAL tool criteria they met. The presence of physical symptoms, emotional distress, and social risk factors was assessed. Results Of the 602 inpatients, 236 (39.2%) were enrolled. Of them, 34 (14.4%) non-NECPAL, 202 (85.6%) NECPAL+ [105 (44.5%) NECPAL I-II, and 97 (41.1%) NECPAL III]. Physical symptom burden was high (pain intensity >= 1 in 68.3% of patients; tiredness >= 1 in 83.5%; somnolence >= 1 in 50.6%; dyspnea >= 1 in 37.9%; anorexia >= 1 in 59.5%). 64.1% had emotional distress, and 83.6% had social risk factors. The NECPAL-III group contained a higher percentage of cancer patients, higher demand for palliative care, and greater need for palliative care (p < 0.001). In 50.8% of cases, no referrals were made to psychology, social work, or hospital palliative and supportive care teams. The three services with the higher number of patients with palliative care needs were: Palliative Care Unit (100%), Oncology (54.54%), and Emergency Short-stay Unit (54.16%). Conclusion A high percentage of patients admitted to tertiary care hospitals presented palliative care needs, with multiple unmet physical, emotional, and social needs. Less than 50% are referred to specialized care teams, such as hospital palliative and supportive care teams.Springer Science and Business Media LLC2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/191811Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1186/s12904-022-01101-4BMC Palliative Care, 2022, vol. 21, issue. 1https://doi.org/10.1186/s12904-022-01101-4cc by (c) Calsina Berna, Agnès et al., 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1918112026-05-27T06:46:51Z
dc.title.none.fl_str_mv Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
title Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
spellingShingle Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
Calsina Berna, Agnès
Tractament pal·liatiu
Assistència hospitalària
Malalts crònics
Palliative treatment
Hospital care
Chronically ill
title_short Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
title_full Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
title_fullStr Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
title_full_unstemmed Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
title_sort Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital
dc.creator.none.fl_str_mv Calsina Berna, Agnès
Amblàs-Novellas, Jordi
González Barboteo, Jesús
Bardés Robles, Ignasi
Beas Alba, Elba
Martínez Muñoz, Marisa
Madariaga, Rafa
Gómez Batiste, Xavier
author Calsina Berna, Agnès
author_facet Calsina Berna, Agnès
Amblàs-Novellas, Jordi
González Barboteo, Jesús
Bardés Robles, Ignasi
Beas Alba, Elba
Martínez Muñoz, Marisa
Madariaga, Rafa
Gómez Batiste, Xavier
author_role author
author2 Amblàs-Novellas, Jordi
González Barboteo, Jesús
Bardés Robles, Ignasi
Beas Alba, Elba
Martínez Muñoz, Marisa
Madariaga, Rafa
Gómez Batiste, Xavier
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Tractament pal·liatiu
Assistència hospitalària
Malalts crònics
Palliative treatment
Hospital care
Chronically ill
topic Tractament pal·liatiu
Assistència hospitalària
Malalts crònics
Palliative treatment
Hospital care
Chronically ill
description Background The identification of patients with advanced chronic conditions and palliative care needs is essential since their care represents one of the main challenges for public health systems. The study aimed to determine the prevalence and characteristics of inpatients with palliative care needs in different services of a tertiary care hospital using the NECPAL CCOMS-ICO (c) tool. Methods A descriptive, cross-sectional cohort study was conducted in a tertiary hospital. The NECPAL tool identifies patients who require palliative care. Any patient with the Surprise Question with the answer NO and at least another question of the tool with a positive answer is considered a positive identification. Patients were classified as Non-NECPAL, NECPAL I-II, and NECPAL III, depending on the NECPAL tool criteria they met. The presence of physical symptoms, emotional distress, and social risk factors was assessed. Results Of the 602 inpatients, 236 (39.2%) were enrolled. Of them, 34 (14.4%) non-NECPAL, 202 (85.6%) NECPAL+ [105 (44.5%) NECPAL I-II, and 97 (41.1%) NECPAL III]. Physical symptom burden was high (pain intensity >= 1 in 68.3% of patients; tiredness >= 1 in 83.5%; somnolence >= 1 in 50.6%; dyspnea >= 1 in 37.9%; anorexia >= 1 in 59.5%). 64.1% had emotional distress, and 83.6% had social risk factors. The NECPAL-III group contained a higher percentage of cancer patients, higher demand for palliative care, and greater need for palliative care (p < 0.001). In 50.8% of cases, no referrals were made to psychology, social work, or hospital palliative and supportive care teams. The three services with the higher number of patients with palliative care needs were: Palliative Care Unit (100%), Oncology (54.54%), and Emergency Short-stay Unit (54.16%). Conclusion A high percentage of patients admitted to tertiary care hospitals presented palliative care needs, with multiple unmet physical, emotional, and social needs. Less than 50% are referred to specialized care teams, such as hospital palliative and supportive care teams.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/191811
url https://hdl.handle.net/2445/191811
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12904-022-01101-4
BMC Palliative Care, 2022, vol. 21, issue. 1
https://doi.org/10.1186/s12904-022-01101-4
dc.rights.none.fl_str_mv cc by (c) Calsina Berna, Agnès et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Calsina Berna, Agnès et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Science and Business Media LLC
publisher.none.fl_str_mv Springer Science and Business Media LLC
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.301603

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