Journal of pain and symptom management
-
J Pain Symptom Manage · Oct 2022
Multicenter Study Observational StudyAre Prognostic Scores Better than Clinician Judgment? A Prospective Study using Three Models.
Several prognostic models such as the Palliative Performance Scale (PPS), Palliative Prognostic Index (PPI), Palliative Prognostic Score (PaP) have been developed to complement clinician's prediction of survival (CPS). However, few studies with large scales have been conducted to show which prognostic tool had better performance than CPS in patients with weeks of survival. ⋯ The PPS, PPI, PaP, and CPS had relatively good performance in patients admitted to PCUs with weeks of survival. CPS and PaP had significantly better performance than the PPS and PPI. CPS may be sufficient for experienced clinicians while PPS may help to improve prognostic confidence for inexperienced clinicians.
-
J Pain Symptom Manage · Oct 2022
Admission Code Status and End-of-life Care for Hospitalized Patients with COVID-19.
The COVID-19 pandemic has highlighted variability in intensity of care. We aimed to characterize intensity of care among hospitalized patients with COVID-19. ⋯ In this international cohort of patients with COVID-19, Full Code was the initial code status in the majority, and more likely among patients who were Black or Asian race, Hispanic ethnicity or male. These results provide direction for future studies to improve these disparities in care.
-
J Pain Symptom Manage · Oct 2022
Multicenter StudySymptom control and survival for people severely ill with COVID: a multicentre cohort study (CovPall-Symptom).
Evidence of symptom control outcomes in severe COVID is scant. ⋯ Symptoms of COVID quickly improved during palliative care. Breathlessness, agitation and multimorbidity could be used as triggers for timelier referral, and symptom guidance for wider specialities should build on treatments identified in this study.
-
J Pain Symptom Manage · Oct 2022
National End-of-Life-Treatment Preferences are stable over time: National Health and Aging Trends Study.
Advance Care Planning is a process of understanding and sharing preferences regarding future medical care. ⋯ We found that national trends in preferences for end-of-life treatment did not substantially change over time and may be stable within individual older adults.