Pathologies of patients followed up by the Palliative Care service of a university hospital
DOI:
https://doi.org/10.33448/rsd-v11i9.31838Keywords:
Palliative care; Integrality in care; Hospice.Abstract
Objectives: The present study aimed to evaluate the main pathologies of patients followed up in the palliative care service of a university hospital. METHODS: A retrospective cohort study involved 153 palliative care patients, aged 4 months to 95 years, hospitalized from January 2020 to August 2021. Clinical, biochemical and radiological data were collected from the patients' medical records. Results: According to the data analyzed during hospitalization, the mean age is 66.78 years, with about 2 different diagnoses or clinical conditions. Most patients (about 24.18%) had sexually transmitted diseases, followed by patients with neoplasms (22.22%), vascular diseases (16.99%), neurodegenerative diseases (4.57%), liver diseases (3.26%) renal failure (9.80%), lung diseases (16.99%) and malformations (0.65%). Conclusion: The present study is in accordance with the new WHO update, in which palliative care is offered to all patients with chronic diseases, with cancer patients occupying second place in the pathological frequency.
References
Akgün K.M., Pisani M. & Crothers K. (2011) The changing epidemiology of HIV-infected patients in the intensive care unit. J Intensive Care Med. 26(3):151-164. doi:10.1177/0885066610387996
Allen L. (2020). Palliative care for patients with advanced heart failure: Indications and systems of care. UpToDate. https://www.uptodate.com/contents/palliative-care-for-patients-with-advanced-heart-failure-indications-and-systems-of-care?search=Palliative%20care%20for%20patients%20with%20advanced%20heart%20failure:%20Indications%20and%20systems%20of%20care.%20&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
Arcanjo S.P., Saporetti L.A., Curiati J.A.E., Jacob-Filho W. & Avelino-Silva T.J. (2018). Clinical and laboratory characteristics associated with referral of hospitalized elderly to palliative care. Einstein (São Paulo) [online]. 2018, v. 16, n. 1 eAO4092. <https://doi.org/10.1590/S1679-45082018AO4092>. Epub 23 Abr 2018. ISSN 2317-6385. https://doi.org/10.1590/S1679-45082018AO4092.
Atty A.T.M. & Tomazelli J.G. (2018) Cuidados paliativos na atenção domiciliar para pacientes oncológicos no Brasil. Saúde em Debate [online]. v. 42, n. 116, pp. 225-236. <https://doi.org/10.1590/0103-1104201811618>. ISSN 2358-2898. https://doi.org/10.1590/0103-1104201811618.
Berggren E., Ödlund Olin A., Orrevall Y., Strang P., Johansson S.E. & Törnkvist L. (2017). Early palliative home care: Evaluation of an interprofessional educational intervention for district nurses and general practitioners about nutritional care. SAGE Open Med. 5:2050312117726465.
Brasil. Ministério da Saúde. (2013). Portaria GM no 874, de 16 de maio de 2013. Institui a Política Nacional para a Prevenção e Controle do Câncer na Rede de Atenção à Saúde das Pessoas com Doenças Crônicas no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da República Federativa do Brasil.
Burton M.C., Warren M., Cha S.S., Stevens M., Blommer M., Kung S., et al. (2016). Identifying Patients in the Acute Psychiatric Hospital Who May Benefit From a Palliative Care Approach. Am J Hosp Palliat Care. 33(3):228-32.
Cameron B.L., Salas A.S. & deMoissac D. (2011). Participatory knowledge exchange to support palliative care in Chile: lessons learned through global health research. Can J Nurs Res. 43(3):16-37.
Coelho C.B.T. & Yankaskas J.R. (2017). Novos conceitos em cuidados paliativos na unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva. V. 29, n. 2pp. 222-230.: <https://doi.org/10.5935/0103-507X.20170031>. ISSN 1982-4335. https://doi.org/10.5935/0103-507X.20170031.
Cook D. & Rocker G. (2014). Dying with dignity in the intensive care unit. N Engl J Med. 370(26):2506-2514. doi:10.1056/NEJMra1208795
Cruz N.A.O., Nóbrega M.R., Gaudêncio M.R.B., Andriani M.T., Farias T.Z.T.T., Pimenta T.S., Fernandes A.R.N. & Pereira R.C.F. (2021). The role of the multidisciplinary team in palliative care in the elderly. RSD. 10(8):e52110817433. https://rsdjournal.org/index.php/rsd/article/view/17433
Dadalto L., Tupinambás U. & Greco D.B. (2016). Diretivas antecipadas de vontade: um modelo brasileiro. Rev Bioét. 21 (3): 463-76 https://www.scielo.br/j/bioet/a/SzZm7jf3WDTczJXfVFpF7GL/?lang=pt&format=pdf
Gomes A.L.Z. & Othero M.B. (2016). Cuidados paliativos. Estudos Avançados. V.30, n. 88 pp. 155-166. <https://doi.org/10.1590/S0103-40142016.30880011>. ISSN 1806-9592.
Kelley A.S. & Morrison R.S. (2015). Palliative Care for the Seriously Ill. N Engl J Med. 2015;373(8):747-755. doi:10.1056/NEJMra1404684
Kostakou E., Rovina N., Kyriakopoulou M., Koulouris N.G. & Koutsoukou A. (2014). Critically ill cancer patient in intensive care unit: issues that arise. J Crit Care. 2014. 29(5):817-22. doi: 10.1016/j.jcrc.2014.04.007.
Marques F.P. & Bulgarelli A.F. (2020) Os sentidos da atenção domiciliar no cuidado ao idoso na finitude: a perspectiva humana do profissional do SUS. Ciênc Saúde Colet. 2020. v. 25, n. 6, pp. 2063-2072. https://doi.org/10.1590/1413-81232020256.21782018
Medrano J., Álvaro-Meca A., Boyer A., Jiménez-Sousa M.A. & Resino S. (2014). Mortality of patients infected with HIV in the intensive care unit (2005 through 2010): significant role of chronic hepatitis C and severe sepsis. Crit Care. 18(4):475. doi:10.1186/s13054-014-0475-3
OMS. (2012). National cancer control programmes: policies and managerial guidelines. Genève: OMS.
Sobanski, P. Z., Alt-Epping, B., Currow, D. C., Goodlin, S. J., Grodzicki, T., Hogg, K., Janssen, D., Johnson, M. J., Krajnik, M., Leget, C., Martínez-Sellés, M., Moroni, M., Mueller, P. S., Ryder, M., Simon, S. T., Stowe, E., & Larkin, P. J. (2020). Palliative care for people living with heart failure: European Association for Palliative Care Task Force expert position statement. Cardiovascular research, 116(1), 12–27. https://doi.org/10.1093/cvr/cvz200
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G., Coats, A. J., Falk, V., González-Juanatey, J. R., Harjola, V. P., Jankowska, E. A., Jessup, M., Linde, C., Nihoyannopoulos, P., Parissis, J. T., Pieske, B., Riley, J. P., Rosano, G. M., Ruilope, L. M., Ruschitzka, F., Rutten, F. H., … van der Meer, P. (2016). Wytyczne ESC dotyczące diagnostyki i leczenia ostrej i przewlekłej niewydolności serca w 2016 roku [2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure]. Kardiologia polska, 74(10), 1037–1147. https://doi.org/10.5603/KP.2016.0141
Silva T.C.D., Nietsche E.A. & Cogo S.B. (2021). Palliative care in Primary Health Care: an integrative literature review. Rev Bras Enferm. 75(1):e20201335. doi:10.1590/0034-7167-2020-1335
Souza P.N., Miranda E.J.P., Cruz R. & Forte D.N. (2016). Cuidados paliativos no paciente com HIV/AIDS internado na unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva, v. 28, n. 3, pp. 301-309. <https://doi.org/10.5935/0103-507X.20160054>. ISSN 1982-4335.
World Health Organization (WHO). (2002). WHO definition of palliative care. Genebra; http://www.who.int/cancer/palliative/definition/en/
Worldwide Palliative Care Alliance. (2014) Global Atlas of Palliative Care at the End of Life. WHO. England. <http://www.who.int/nmh/Global_Atlas_of_Palliative_Care.pdf>.
Writing Group for the CHECKLIST-ICU Investigators and the Brazilian Research in Intensive Care Network (BRICNet), Cavalcanti, A. B., Bozza, F. A., Machado, F. R., Salluh, J. I., Campagnucci, V. P., Vendramim, P., Guimaraes, H. P., Normilio-Silva, K., Damiani, L. P., Romano, E., Carrara, F., Lubarino Diniz de Souza, J., Silva, A. R., Ramos, G. V., Teixeira, C., Brandão da Silva, N., Chang, C. C., Angus, D. C., & Berwanger, O. (2016). Effect of a Quality Improvement Intervention With Daily Round Checklists, Goal Setting, and Clinician Prompting on Mortality of Critically Ill Patients: A Randomized Clinical Trial. JAMA, 315(14), 1480–1490. https://doi.org/10.1001/jama.2016.3463
Yancy, C. W., Januzzi, J. L., Jr, Allen, L. A., Butler, J., Davis, L. L., Fonarow, G. C., Ibrahim, N. E., Jessup, M., Lindenfeld, J., Maddox, T. M., Masoudi, F. A., Motiwala, S. R., Patterson, J. H., Walsh, M. N., & Wasserman, A. (2018). 2017 ACC Expert Consensus Decision Pathway for Optimization of Heart Failure Treatment: Answers to 10 Pivotal Issues About Heart Failure With Reduced Ejection Fraction: A Report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways. Journal of the American College of Cardiology, 71(2), 201–230. https://doi.org/10.1016/j.jacc.2017.11.025
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