Investigation of parameters associated with mortality in a palliative care unit

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dc.authoridKARASAHİN, Omer/0000-0002-4245-1534
dc.contributor.authorVural, Murat Furkan
dc.contributor.authorTasar, Pinar Tosun
dc.contributor.authorKarasahin, Omer
dc.contributor.authorSevinc, Can
dc.contributor.authorSahin, Sevnaz
dc.date.accessioned2024-08-31T07:49:42Z
dc.date.available2024-08-31T07:49:42Z
dc.date.issued2023
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: Effective palliative care reduces unnecessary hospital admissions and intensive care length of stay. The present study aimed to investigate the parameters associated with mortality in patients receiving palliative care support. Material and methods: This prospective observational study was conducted among inpatients in a palliative care unit. Results: A total of 177 patients hospitalized in the palliative care unit were included in the study. Of the patients, 84 (47.5%) were female and the mean age was 72.49 +/- 15.12 years. At the end of the follow-up period in the palliative care unit, 67 patients (37.9%) had died. A one -unit increase in albumin was associated with 66.6% lower odds of mortality [odds ratio (OR): 0.334, 95% confidence interval (CI): 0.141-0.791; p = 0.013] and a one -unit increase in Karnofsky performance scales (KPS) score was associated with 4.8% lower odds of mortality (OR: 0.952, 95% CI: 0.925-0.980; p = 0.001). In contrast, the odds of mortality were 4.851 times higher in patients with congestive heart failure (95% CI: 1.716-13.717; p = 0.003), 4.442 times higher in patients with solid organ malignancy (95% CI: 1.420-13.894; p = 0.01), 3.727 times in the presence of hypoxia at admission (95% CI: 1.504-9.239; p = 0.005), and 3.626 times higher in patients who developed an infection during follow-up (95% CI: 1.523-8.635; p = 0.004). Conclusions: The results of this study suggest that congestive heart failure, solid organ malignancy, hypoxia at admission, infection during follow-up, and low albumin level and KPS score may be indicators of poor outcome.en_US
dc.identifier.doi10.5114/pm.2023.132897
dc.identifier.endpage187en_US
dc.identifier.issn2081-0016
dc.identifier.issn2081-2833
dc.identifier.issue4en_US
dc.identifier.startpage181en_US
dc.identifier.urihttps://doi.org/10.5114/pm.2023.132897
dc.identifier.urihttps://hdl.handle.net/11454/104969
dc.identifier.volume15en_US
dc.identifier.wosWOS:001197218300005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltden_US
dc.relation.ispartofMedycyna Paliatywna-Palliative Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectMortalityen_US
dc.subjectPalliative Careen_US
dc.subjectParametersen_US
dc.titleInvestigation of parameters associated with mortality in a palliative care uniten_US
dc.typeArticleen_US

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