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Inflammatory indexes predict mortality in non-malignant patients in palliative care.
- Source :
-
International Journal of Palliative Nursing . Jul2024, Vol. 30 Issue 7, p404-412. 9p. - Publication Year :
- 2024
-
Abstract
- Background: The literature on the use of inflammatory indexes for palliative care patients without malignancy is scarce. Aims: To determine which inflammatory indexes are associated with the mortality risks of non-malignant patients hospitalised and receiving palliative care. Methods: Discharged or deceased patients in a palliative care unit of a secondary care hospital were included. The laboratory values were obtained during the first 48 hours of hospitalisation. Findings: As a result of univariate Cox regression analysis, 14-day mortality rate was affected by lymphocyte ratio, neutrophil-to-albumin ratio (NAR), C-reactive protein/albumin ratio (CAR), multi-inflammatory indexes (MII-1) and MII-2 (p<0.001, p=0.001, p=0.002, p=0.009 and p=0.003, respectively); NLR, CLR, NAR, CAR, MII-1 and MII-2 (respectively p=0.005, p<0.001, p<0.001, p<0.001, p=0.001 and p<0.001) affected 28-day mortality rate. Indexes that statistically significantly increased both 14-day and 28-day mortality rates independently of other variables were CLR, NAR, CAR, MII-1 and MII-2. Conclusion: High values in inflammatory indexes, including C-reactive protein and albumin increase the risk of 14-day and 28-day mortality rates in palliative care non-malignant patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RISK assessment
*CROSS-sectional method
*PALLIATIVE treatment
*MULTIPLE regression analysis
*NEUTROPHILS
*HOSPITAL mortality
*BLOOD cell count
*RETROSPECTIVE studies
*DESCRIPTIVE statistics
*MANN Whitney U Test
*CHI-squared test
*MEDICAL records
*ACQUISITION of data
*STATISTICS
*INFLAMMATION
*HOSPITAL care of older people
*DATA analysis software
*LENGTH of stay in hospitals
*DEMENTIA
*ALBUMINS
*STROKE
*BIOMARKERS
*PROPORTIONAL hazards models
*C-reactive protein
Subjects
Details
- Language :
- English
- ISSN :
- 13576321
- Volume :
- 30
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- International Journal of Palliative Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 178526692
- Full Text :
- https://doi.org/10.12968/ijpn.2024.30.7.404