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Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units
BACKGROUND/AIMS: Prognostic factors are an important issue in progressive and life-limiting diseases. This study evaluate 3-month mortality in patients admitted to the palliative care unit (PCU). METHODS: In this study, the patient’s demographics, comorbidities, nutritional status, and laboratory va...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Association of Internal Medicine
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338258/ https://www.ncbi.nlm.nih.gov/pubmed/36997319 http://dx.doi.org/10.3904/kjim.2022.308 |
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author | Kaya, Zeynep Irmak Öztürk, Yelda Gürcü, Sinem Uncu, Gülgün Uçan, Anıl Eşme, Mert Kaya, Berrin Yalınbaş Balci, Cafer |
author_facet | Kaya, Zeynep Irmak Öztürk, Yelda Gürcü, Sinem Uncu, Gülgün Uçan, Anıl Eşme, Mert Kaya, Berrin Yalınbaş Balci, Cafer |
author_sort | Kaya, Zeynep Irmak |
collection | PubMed |
description | BACKGROUND/AIMS: Prognostic factors are an important issue in progressive and life-limiting diseases. This study evaluate 3-month mortality in patients admitted to the palliative care unit (PCU). METHODS: In this study, the patient’s demographics, comorbidities, nutritional status, and laboratory values were recorded. The palliative performance scale (PPS), the palliative prognostic index (PPI), and the palliative prognostic (PaP) score were calculated. The rectus femoris (RF) cross-sectional area (CSA), RF muscle thickness, gastrocnemius (GC) medialis muscle thickness, pennation angle and fascicle length of the GC were measured by ultrasound for survival prediction. RESULTS: A total of 88 patients enrolled during the study period, with a mean age of 73.6 ± 13.3 years and a 3-month mortality rate of 59.1%. The findings of a multivariable Cox proportional hazards regression model based on age, gender, C-reactive protein level and Nutrition Risk Screening 2002 scores as covariates revealed the PPI and the PaP score to be significant predictors of 3-month mortality. In addition, in the unadjusted Cox proportional hazard regression analysis, the CSA of the RF muscle was also found to be a significant predictor of 3-month mortality. CONCLUSIONS: Findings revealed that the combined use of the CSA of the RF, the PPI, and the PaP score are reliable predictors of mortality in patients admitted to the PCU. |
format | Online Article Text |
id | pubmed-10338258 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Korean Association of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-103382582023-07-14 Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units Kaya, Zeynep Irmak Öztürk, Yelda Gürcü, Sinem Uncu, Gülgün Uçan, Anıl Eşme, Mert Kaya, Berrin Yalınbaş Balci, Cafer Korean J Intern Med Original Article BACKGROUND/AIMS: Prognostic factors are an important issue in progressive and life-limiting diseases. This study evaluate 3-month mortality in patients admitted to the palliative care unit (PCU). METHODS: In this study, the patient’s demographics, comorbidities, nutritional status, and laboratory values were recorded. The palliative performance scale (PPS), the palliative prognostic index (PPI), and the palliative prognostic (PaP) score were calculated. The rectus femoris (RF) cross-sectional area (CSA), RF muscle thickness, gastrocnemius (GC) medialis muscle thickness, pennation angle and fascicle length of the GC were measured by ultrasound for survival prediction. RESULTS: A total of 88 patients enrolled during the study period, with a mean age of 73.6 ± 13.3 years and a 3-month mortality rate of 59.1%. The findings of a multivariable Cox proportional hazards regression model based on age, gender, C-reactive protein level and Nutrition Risk Screening 2002 scores as covariates revealed the PPI and the PaP score to be significant predictors of 3-month mortality. In addition, in the unadjusted Cox proportional hazard regression analysis, the CSA of the RF muscle was also found to be a significant predictor of 3-month mortality. CONCLUSIONS: Findings revealed that the combined use of the CSA of the RF, the PPI, and the PaP score are reliable predictors of mortality in patients admitted to the PCU. Korean Association of Internal Medicine 2023-07 2023-03-31 /pmc/articles/PMC10338258/ /pubmed/36997319 http://dx.doi.org/10.3904/kjim.2022.308 Text en Copyright ©2023 The Korean Association of Internal Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kaya, Zeynep Irmak Öztürk, Yelda Gürcü, Sinem Uncu, Gülgün Uçan, Anıl Eşme, Mert Kaya, Berrin Yalınbaş Balci, Cafer Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
title | Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
title_full | Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
title_fullStr | Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
title_full_unstemmed | Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
title_short | Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
title_sort | predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338258/ https://www.ncbi.nlm.nih.gov/pubmed/36997319 http://dx.doi.org/10.3904/kjim.2022.308 |
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