PMID- 36141221
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220928
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 10
IP  - 9
DP  - 2022 Aug 24
TI  - Palliative Care Needs and Clinical Features Related to Short-Term Mortality in 
      Patients Enrolled in a Heart Failure Unit.
LID - 10.3390/healthcare10091609 [doi]
LID - 1609
AB  - (1) Background: Heart failure (HF) is a chronic and complex pathology requiring 
      continuous patient management due to clinical instability, associated 
      comorbidity, and extensive pharmacological treatment. Its unpredictable course 
      makes the advanced stages challenging to recognize and raises the need for 
      palliative care. This study aims to identify palliative care needs in HF patients 
      and describe clinical features related to short-term mortality. (2) Methods: A 
      descriptive, observational, cross-sectional, and retrospective study was carried 
      out in an HF unit of a Spanish tertiary hospital. Patients' socio-demographic and 
      clinical data were collected from clinical records, and different instruments 
      were used to establish mortality risks and patients' needs for palliative care. 
      Subsequently, univariate and bivariate descriptive analyses were performed. A 
      binary logistic regression model helped to determine variables that could 
      influence mortality 12 months after admission to the Unit. (3) Results: The 
      studied population, sixty-five percent women, had an average age of 83.27 years. 
      Among other clinical characteristics predominated preserved ejection fraction 
      (pEF) and dyspnea NYHA (New York Heart Association) class II. The most prevalent 
      comorbidities were hypertension and coronary heart disease. Forty-nine percent 
      had a low-intermediate mortality risk in the following year, according to the 
      PROFUND index. The NECPAL CCOMS-ICO(c) instrument identified subjects who meet the 
      criteria for palliative care. This predictive model identified NECPAL CCOMS-ICO(c) 
      results, using beta-blockers (BB) or AIIRA (Angiotensin II receptor antagonists) 
      and low glomerular filtration rate (GFR) as explanatory variables of patients' 
      mortality in the following year. (4) Conclusions: The analysis of the 
      characteristics of the population with HF allows us to identify patients in need 
      of palliative care. The NECPAL CCOMS-ICO(c) instrument and the PROFUND have helped 
      identify the characteristics of people with HF who would benefit from palliative 
      management.
FAU - Aguilar-Fuerte, Marta
AU  - Aguilar-Fuerte M
AD  - Nursing Department, Facultat d'Infermeria i Podologia, Universitat de Valencia, 
      46010 Valencia, Spain.
FAU - Alonso-Ecenarro, Fernando
AU  - Alonso-Ecenarro F
AD  - Internal Medicine, Consorcio Hospital General Universitario de Valencia, 46014 
      Valencia, Spain.
FAU - Broch-Petit, Alejandro
AU  - Broch-Petit A
AD  - Internal Medicine, Consorcio Hospital General Universitario de Valencia, 46014 
      Valencia, Spain.
FAU - Chover-Sierra, Elena
AU  - Chover-Sierra E
AUID- ORCID: 0000-0002-4141-6956
AD  - Nursing Department, Facultat d'Infermeria i Podologia, Universitat de Valencia, 
      46010 Valencia, Spain.
AD  - Internal Medicine, Consorcio Hospital General Universitario de Valencia, 46014 
      Valencia, Spain.
AD  - Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing 
      Department, Universitat de Valencia, 46010 Valencia, Spain.
LA  - eng
PT  - Journal Article
DEP - 20220824
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC9498741
OTO - NOTNLM
OT  - assessment
OT  - comprehensive management
OT  - elderly
OT  - heart failure
OT  - palliative care
OT  - prognosis
COIS- The authors declare no conflict of interest.
EDAT- 2022/09/24 06:00
MHDA- 2022/09/24 06:01
PMCR- 2022/08/24
CRDT- 2022/09/23 01:16
PHST- 2022/07/19 00:00 [received]
PHST- 2022/08/23 00:00 [revised]
PHST- 2022/08/23 00:00 [accepted]
PHST- 2022/09/23 01:16 [entrez]
PHST- 2022/09/24 06:00 [pubmed]
PHST- 2022/09/24 06:01 [medline]
PHST- 2022/08/24 00:00 [pmc-release]
AID - healthcare10091609 [pii]
AID - healthcare-10-01609 [pii]
AID - 10.3390/healthcare10091609 [doi]
PST - epublish
SO  - Healthcare (Basel). 2022 Aug 24;10(9):1609. doi: 10.3390/healthcare10091609.