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Variaciones de supervivencia basadas en la condición de calificación para el hospicio: una revisión retrospectiva
Patrick D Crowley1, Leslie R Siegel2,3, Francis X Whalen3,4
1Division of Public Health, Infectious Disease, and Occupational Medicine, Mayo Clinic, Rochester, MN, USA.
The American journal of hospice & palliative care
|August 26, 2025
Resumen
Pacientes de hospicio
Área de la Ciencia:
- Gerontología
- Cuidados paliativos
- Estadísticas biológicas
Sus antecedentes:
- La inscripción en el hospicio atiende a diversas condiciones de los pacientes.
- Existen datos recientes limitados sobre la duración de la supervivencia después de la inscripción en hospicio.
- Los factores demográficos y diagnósticos clave que influyen en la supervivencia no se han examinado lo suficiente.
Objetivo del estudio:
- Para analizar la duración de la supervivencia después de la inscripción en el hospicio.
- Investigar el impacto de la edad, el sexo y las condiciones de calificación para el hospicio (HQC) en la supervivencia.
- Para identificar subgrupos de pacientes con una mayor supervivencia en el hospicio.
Principales métodos:
- Se utilizaron los datos existentes de los pacientes para el análisis.
- Edad calculada en el momento de la inscripción y sexo registrado.
- Clasificamos a los pacientes en nueve categorías de condiciones para el hospicio.
- Utilizó las pruebas de Wilcoxon para comparaciones de supervivencia.
Principales resultados:
- La mediana de supervivencia fue de 17,36 días; el HQC "Infeccioso" tuvo la mediana de supervivencia más corta (4,69 días), mientras que el "Otro" tuvo la más larga (28,53 días).
- Las mujeres (19,34 días) y los pacientes mayores (20,51 días) presentaron una mediana de supervivencia más larga que los hombres (15,37 días) y los pacientes más jóvenes (15,03 días).
- El 9,47% de los pacientes sobrevivieron al menos 6 meses, con tasas más altas observadas en mujeres (10,99%), personas mayores (12,44%) y personas con demencia (16,46%).
Conclusiones:
- La duración de la supervivencia en el hospicio varía significativamente según la edad, el sexo y el diagnóstico.
- Los hallazgos sugieren posibles sesgos en las evaluaciones de aplicabilidad de los hospicios.
- Comprender estas diferencias de supervivencia es vital para las expectativas del paciente y la familia y la planificación de la atención.
Palabras clave:
ancianosfin de la vida útilel hospiciocondición de calificación para el hospiciola supervivenciaMás Videos Relacionados
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