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[Palliative care needs in advanced chronic illness].
Vilma A Tripodoro1, María C Rynkiewicz1, Victoria Llanos2
1Instituto Pallium Latinoamérica.
Medicina
|June 14, 2016
Summary
In Buenos Aires, nearly one-third of chronically ill patients identified by the NECPAL CCOMS-ICO© tool may die within a year and require palliative care. This highlights a significant need for advanced chronic disease management and palliative support.
Area of Science:
- Palliative Care Medicine
- Public Health
- Geriatrics
Background:
- Chronic progressive diseases affect a significant portion of the population, necessitating robust palliative care strategies.
- The World Health Organization (WHO) recommends strengthening palliative treatment within comprehensive care frameworks.
- The NECPAL CCOMS-ICO© tool provides a multifactorial evaluation for identifying patients with chronic conditions needing palliative care.
Purpose of the Study:
- To determine the prevalence and characteristics of chronically ill patients with palliative care needs in Buenos Aires, Argentina.
- To apply the NECPAL CCOMS-ICO© tool in a new geographical and healthcare context.
- To assess the demand and needs for palliative care among advanced chronic disease patients.
Main Methods:
- A cross-sectional survey was conducted in general hospitals and specialized centers in Buenos Aires.
- 53 physicians interviewed 704 patients, utilizing the NECPAL CCOMS-ICO© tool for assessment.
- Data collected included patient demographics, disease status, comorbidity levels, and palliative care needs.
Main Results:
- 29.5% of surveyed patients had advanced chronic diseases.
- 72.1% of these patients tested positive on the NECPAL tool, indicating palliative care needs.
- Patients identified were younger (median 64 years) and presented high comorbidity (>98%), with significant palliative care demand (31.4%) and needs (52.7%).
Conclusions:
- A substantial proportion of chronically ill patients in Buenos Aires exhibit characteristics suggesting they may die within the next year and require palliative care.
- The study validates the use of the NECPAL CCOMS-ICO© tool in identifying patients with advanced chronic diseases and palliative care needs in Argentina.
- Findings underscore the urgent need to integrate and expand palliative care services for this population in Buenos Aires.
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