1. Which patients with heart failure should receive specialist palliative care?
- Author
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Campbell, Ross T., Petrie, Mark C., Jackson, Colette E., Jhund, Pardeep S., Wright, Ann, Gardner, Roy S., Sonecki, Piotr, Pozzi, Andrea, McSkimming, Paula, McConnachie, Alex, Finlay, Fiona, Davidson, Patricia, Denvir, Martin A., Johnson, Miriam J., Hogg, Karen J., and McMurray, John J.V.
- Subjects
Aged, 80 and over ,Male ,Heart Failure ,animal structures ,Patient Selection ,Palliative Care ,fungi ,United Kingdom ,Hospitalization ,Treatment ,Cardiovascular System & Hematology ,Prevalence ,Quality of Life ,Humans ,Female ,Patient Reported Outcome Measures ,1102 Cardiorespiratory Medicine and Haematology ,Aged ,Follow-Up Studies ,Retrospective Studies ,Specialization ,Research Article - Abstract
Aims:\ud \ud We investigated which patients with heart failure (HF) should receive specialist palliative care (SPC) by first creating a definition of need for SPC in patients hospitalised with HF using patient‐reported outcome measures (PROMs) and then testing this definition using the outcome of days alive and out of hospital (DAOH). We also evaluated which baseline variables predicted need for SPC and whether those with this need received SPC.\ud Methods and results:\ud \ud PROMs assessing quality of life (QoL), symptoms, and mood were administered at baseline and every 4 months. SPC need was defined as persistently severe impairment of any PROM without improvement (or severe impairment immediately preceding death). We then tested whether need for SPC, so defined, was reflected in DAOH, a measure which combines length of stay, days of hospital re‐admission, and days lost due to death. Of 272 patients recruited, 74 (27%) met the definition of SPC needs. These patients lived one third fewer DAOH than those without SPC need (and less than a quarter of QoL‐adjusted DAOH). A Kansas City Cardiomyopathy Questionnaire (KCCQ) summary score of
- Published
- 2018