Keywords
NECPAL-BR
Patient care
Chronic diseases
Prognosis
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Abstract
Objective: Quantify and analyze the institution of Palliative Care (PC), as well as to estimate in-hospital mortality and survival of patients determined to be in PC. Methods: Is a cross-sectional, descriptive and quantitative study, involving case analysis of 70 patients undergoing PC in a tertiary hospital. The NECPAL-BR scale (nationally validated) was used, which is capable of identify and take early actions in patients requiring palliation. These were separated into categories: negative NECPAL, positive NECPAL I and II. The analysis was performed using the Statistical Package for Social Sciences™ (SPSS), version 21. Results: Of the 42 patients (60.0%) who died during hospitalization: 25 (59.52%) were NECPAL I; 17 (40.48%) were NECPAL II and none were NECPAL negative. All the NECPAL II patients died during the same hospitalization, with survival of less than 60 days, while the NECPAL negative patients (03 patients) were hospital discharged. Furthermore, although none of the interviewees were familiar with the NECPAL-BR scale, 67 out of 70 patients (95%) agreed with its criteria. Conclusion: The NECPAL-BR tool can improve mortality prediction and aid decision-making, providing the team with more accurate information on prognosis. The presence of all three NECPAL criteria (NECPAL II) increases the tool's predictive capacity.
References
BRASIL. Manual de Cuidados Paliativos, 2020. Disponível em: https://cuidadospaliativos.org/uploads/2020/12/Manual-Cuidados-Paliativos.pdf. Acessado em: 21 de Novembro de 2023.
CALSINA-BERNA A, et al. Intrahospital Mortality and Survival of Patients with Advanced Chronic Illnesses in a Tertiary Hospital Identified with the NECPAL CCOMS-ICO© Tool. Journal of Palliative Medicine, 2018; 21(5): 665-673.
FLORIANI CA. Palliative care in Brazil: a challenge to the healthcare system. Palliative Care: Research and Treatment, 2008.
FLORIANI CA, et al. Cuidados paliativos: interfaces, conflitos e necessidades. Ciências da Saúde Coletiva, 2008; 13: 2123-2132.
FONSECA A e GEOVANINI F. Cuidados Paliativos na Formação do Profissional da Área de Saúde. Revista Brasileira de Educação Médica, 2013; 37(1): 120-125.
GÓMEZ-BATISTE X, et al. Diseño, implementación y evaluación de programas públicos de cuidados paliativos. Medicina Clinica. Catalunya, 2010; 135(4): 179-185.
GÓMEZ-BATISTE X, et al. Tool to identify Advanced-Terminal patients in need of palliative care within health and social services. Catalan Institute of Oncology, 2011; 1: 1-4.a
GÓMEZ-BATISTE X, et al. Utility of the NECPAL CCOMS-ICO© tool and the Surprise Question as screening tools for early palliative care and to predict mortality in patients with advanced chronic conditions: A cohort study. Palliative Medicine, 2017; 31(8): 754-763.
GÓMEZ-BATISTE X, et al. Prevalence and characteristics of patients with advanced chronic conditions in need of palliative care in the general population: a cross-sectional study. Palliative Medicine, 2014; 28(4): 302-311.
GRITTI CC, et al. Doenças crônicas não transmissíveis e antecedentes pessoais em reinternados e contribuição da terapia ocupacional. Cadernos Saúde Coletiva, 2015; 23: 2.
HOERGER M, et al. Definindo os elementos dos cuidados paliativos precoces associados aos resultados relatados pelo paciente e à prestação de cuidados no final da vida. J Clin Onc, 2018; 36(11): 1096-1102.
LIMA EJA, et al. Relação entre doenças crônicas não transmissíveis e o tempo de internação de idosos em Unidade de Terapia Intensiva. Brazilian Journal of Implantology and Health Sciences, 2023; 5(4): 2620-2632.
MAZZUTTI SRG, et al. Limitação de Suporte Avançado de Vida em pacientes admitidos em unidade de terapia intensiva com cuidados paliativos integrados. Rev Bra Terapia Intensiva, 2016; 28(3): 294-300.
MORONI M, et al. The 'surprise' question in advanced cancer patients: A prospective study among general practitioners. Revista de Medicina Paliativa, 2014; 28(7): 959-964.
OKON TR, et al. A Visão geral da avaliação abrangente do paciente em cuidados paliativos. UpToDate, 2021.
O’CALLAGHAN A, et al. Can we predict which hospitalised patients are in their last year of life? A prospective cross-sectional study of the Gold Standards Framework Prognostic Indicator Guidance as a screening tool in the acute hospital setting. Palliative Medicine, 2014; 28: 1046–1052.
ORZECHOWSKI R, et al. Palliative care need in patients with advanced heart failure hospitalized in a tertiary hospital. Journal of School of Nursing, 2019; 53.
PARAIZO-HOVARTH CMS, et al. Identificação de pessoas para cuidados paliativos na atenção primária: revisão integrativa. Ciência & Saúde Coletiva. Ribeirão Preto, 2022; 27(9): 3547-3557.
PEREIRA LM, et al. Cuidados paliativos: desafios para o ensino em saúde. Revista Bioética, 2022; 30(1): 149-161.
SANTANTA MT, et al. Adaptação transcultural e validação semântica de instrumento para identificação de necessidades paliativas em língua portuguesa. Einstein. São Paulo, 2020; 18: 1-8.
SANTOS CE, et al. Palliative care in Brazil: with a view to future needs? Revista da Associação Médica Brasileira, 2019; 10: 1-9.
VIDAL EIO, et al. Posicionamento da ANCP e SBGG sobre tomada de decisão compartilhada em cuidados paliativos. Cadernos de Saúde Pública, 2022; 38: 9.