预测与现代息护理实践中的息性绩效等级得分相关
Kara E Bischoff1, Kanan Patel2, W John Boscardin2
1Division of Palliative Medicine, Department of Medicine, University of California, San Francisco.
JAMA network open
|July 8, 2024
概括
使用息性表现量表 (PPS) 的最新预后估计显示,生存时间比以前估计的要长得多. 这些发现有助于临床医生为严重疾病提供更准确的预后.
科学领域:
- 抚慰性护理研究研究
- 预测模型的预测建模.
- 严重疾病的结果.
背景情况:
- 息性表现量表 (PPS) 是严重疾病的关键预后工具.
- 现有的PPS预后估计已经过时,基于十多年前的数据.
研究的目的:
- 更新根据PPS分数,护理环境和疾病类别的预后估计.
- 评估PPS对短期和长期生存的预测准确性.
主要方法:
- 一项使用电子健康记录和来自大型学术医疗中心的生命记录的预后研究.
- 包括在2018-2020年期间接受息治疗咨询的患者.
- 通过PPS得分,设置和诊断分析1个月,6个月和12个月的死亡率和平均存活率.
主要成果:
- 较低的PPS得分与较高的死亡率和较短的存活时间在住院和门诊环境中相关.
- 更新后的预后估计时间比之前的估计时间长2.3至11.7倍.
- 在住院患者中,PPS表现出更好的短期 (1个月) 生存预测和更高的准确性.
结论:
- 目前的PPS预后估计需要根据最新数据进行大量修订.
- 这些发现支持使用最新的预后工具,以更准确地照顾患者.
- 有更新的在线计算器可用于帮助临床医生进行现代预后估计.
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