探索修改住院患者一年死亡风险评分的实用性,以触发癌症住院患者转诊到息护理的推.
Cancer medicine
|October 9, 2024
概括
修改后的住院患者一年死亡风险 (mHOMR) 评分显示,较高的得分与癌症患者的死亡风险增加有关. 然而,标准的mHOMR切线可能需要调整以获得最佳的息治疗转诊.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预后不确定性可能会推迟住院患者的息护理咨询.
- 修改后的住院患者一年死亡风险 (mHOMR) 评分使用住院数据估计了12个月的死亡风险.
- mHOMR可以作为一种有价值的工具来识别可能受益于早期息治疗的患者.
研究的目的:
- 评估二分化mHOMR得分与急性癌症入院患者死亡风险之间的关联.
- 为了确定mHOMR得分是否可以有效地识别患者,以便及时转介息治疗.
- 评估中位数 (0.27) 与开发人员推的 (0.21) mHOMR截止值的实用性.
主要方法:
- 在四级癌症中心对182例急性癌症患者进行了mHOMR工具的回顾性应用.
- 基于队列中位数 (0.27) 和开发人员推的切断值 (0.21) 的mHOMR得分的二体化.
- 分析mHOMR得分与12个月死亡率,以及息治疗转诊率之间的关联.
主要成果:
- 较高的mHOMR得分与12个月死亡率的增加显著相关 (p < 0.05).
- 在0.27的mHOMR切线时,50%的患者处于高风险,其中58%被转移到息治疗.
- 开发人员推的0.21的mHOMR切断值没有显示出与死亡率的显著关联 (p = 0.15).
结论:
- 升高的mHOMR得分与晚期癌症患者的死亡风险有显著的相关性.
- 开发人员推的mHOMR切断值 (0.21) 并不是该队列中死亡率的显著预测指标.
- mHOMR得分可以帮助临床判断识别患有息治疗的高风险患者,但最佳切断值可能需要对特定人群进行调整.
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