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 valu...
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The Korean Association of Internal Medicine
2023-07-01
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| Series: | The Korean Journal of Internal Medicine |
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| Online Access: | http://kjim.org/upload/kjim-2022-308.pdf |
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| author | Zeynep Irmak Kaya Yelda Öztürk Sinem Gürcü Gülgün Uncu Anıl Uçan Mert Eşme Berrin Yalınbaş Kaya Cafer Balci |
| author_facet | Zeynep Irmak Kaya Yelda Öztürk Sinem Gürcü Gülgün Uncu Anıl Uçan Mert Eşme Berrin Yalınbaş Kaya Cafer Balci |
| author_sort | Zeynep Irmak Kaya |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-13T00:06:16Z |
| format | Article |
| id | doaj.art-dc5aabed241e4f87a1b89ac3f8fd8cbd |
| institution | Directory Open Access Journal |
| issn | 1226-3303 2005-6648 |
| language | English |
| last_indexed | 2024-03-13T00:06:16Z |
| publishDate | 2023-07-01 |
| publisher | The Korean Association of Internal Medicine |
| record_format | Article |
| series | The Korean Journal of Internal Medicine |
| spelling | doaj.art-dc5aabed241e4f87a1b89ac3f8fd8cbd2023-07-13T01:22:49ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482023-07-0138455756510.3904/kjim.2022.308170779Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care unitsZeynep Irmak Kaya0Yelda Öztürk1Sinem Gürcü2Gülgün Uncu3Anıl Uçan4Mert Eşme5Berrin Yalınbaş Kaya6Cafer Balci7 Department of Internal Medicine, Eskisehir City Hospital, Eskisehir, Turkey Department of Geriatric Medicine, Eskisehir City Hospital, Eskisehir, Turkey Department of Pharmacy, Eskisehir City Hospital, Eskisehir, Turkey Department of Neurology, Eskisehir City Hospital, Eskisehir, Turkey Department of Internal Medicine, Eskisehir City Hospital, Eskisehir, Turkey Department of Geriatric Medicine, Mersin City Hospital, Mersin, Turkey Department of Gastroenterology, Eskisehir City Hospital, Eskisehir, Turkey Division of Geriatric Medicine, Hacettepe University Faculty of Medicine, Ankara, TurkeyBackground/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.http://kjim.org/upload/kjim-2022-308.pdfpalliative caresarcopeniamortalityultrasonography |
| spellingShingle | Zeynep Irmak Kaya Yelda Öztürk Sinem Gürcü Gülgün Uncu Anıl Uçan Mert Eşme Berrin Yalınbaş Kaya Cafer Balci Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units The Korean Journal of Internal Medicine palliative care sarcopenia mortality ultrasonography |
| 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 | palliative care sarcopenia mortality ultrasonography |
| url | http://kjim.org/upload/kjim-2022-308.pdf |
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