Palliative Performance Status, Heart Rate and Respiratory Rate as Predictive Factors of Survival Time in Terminally Ill Cancer Patients
To determine which symptoms, signs, and characteristics that define the patient's functional status predict the survival time in terminally ill cancer patients, a prospective longitudinal study was conducted with terminally ill cancer patients followed by a Home Care Support Team. Patients were...
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Veröffentlicht in: | Journal of pain and symptom management 2006-06, Vol.31 (6), p.485-492 |
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container_title | Journal of pain and symptom management |
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creator | de Miguel Sánchez, Cristina Elustondo, Sofía Garrido Estirado, Alicia Sánchez, Fernando Vicente de la Rasilla Cooper, Cristina García Romero, Andrés López Otero, Angel Olmos, Luis García |
description | To determine which symptoms, signs, and characteristics that define the patient's functional status predict the survival time in terminally ill cancer patients, a prospective longitudinal study was conducted with terminally ill cancer patients followed by a Home Care Support Team. Patients were followed up with at least weekly visits until death, collecting variables at each visit. A Cox multivariate regression analysis took into account all the follow-ups in the same patient. Ninety-eight patients were studied, and 250 evaluations were done. The mean age was 72 years. The median survival was 32 days. In the multivariate analysis, three independent variables were identified: Palliative Performance Score of 50 or under, heart rate of 100/minute or more, and respiratory rate of 24/minute or more. The variables that were found to be prognostic in our study are objective, easy, and quick to measure, and do not require that the professional have special training or experience. The prediction of survival time may be improved by considering these variables. |
doi_str_mv | 10.1016/j.jpainsymman.2005.10.007 |
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Patients were followed up with at least weekly visits until death, collecting variables at each visit. A Cox multivariate regression analysis took into account all the follow-ups in the same patient. Ninety-eight patients were studied, and 250 evaluations were done. The mean age was 72 years. The median survival was 32 days. In the multivariate analysis, three independent variables were identified: Palliative Performance Score of 50 or under, heart rate of 100/minute or more, and respiratory rate of 24/minute or more. The variables that were found to be prognostic in our study are objective, easy, and quick to measure, and do not require that the professional have special training or experience. The prediction of survival time may be improved by considering these variables.</description><identifier>ISSN: 0885-3924</identifier><identifier>EISSN: 1873-6513</identifier><identifier>DOI: 10.1016/j.jpainsymman.2005.10.007</identifier><identifier>PMID: 16793488</identifier><identifier>CODEN: JSPME2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; advanced cancer ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cancer ; Cohort Studies ; Female ; Health Status ; Heart Rate ; Humans ; Karnofsky Performance Status ; Male ; Medical sciences ; Middle Aged ; Neoplasms - complications ; Neoplasms - mortality ; Neoplasms - physiopathology ; Palliative Care ; Pharmacology. 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Patients were followed up with at least weekly visits until death, collecting variables at each visit. A Cox multivariate regression analysis took into account all the follow-ups in the same patient. Ninety-eight patients were studied, and 250 evaluations were done. The mean age was 72 years. The median survival was 32 days. In the multivariate analysis, three independent variables were identified: Palliative Performance Score of 50 or under, heart rate of 100/minute or more, and respiratory rate of 24/minute or more. The variables that were found to be prognostic in our study are objective, easy, and quick to measure, and do not require that the professional have special training or experience. The prediction of survival time may be improved by considering these variables.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>advanced cancer</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cancer</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Health Status</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Karnofsky Performance Status</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - mortality</subject><subject>Neoplasms - physiopathology</subject><subject>Palliative Care</subject><subject>Pharmacology. Drug treatments</subject><subject>Predictive Value of Tests</subject><subject>prognostic factors</subject><subject>Respiration</subject><subject>Survival Rate</subject><subject>Terminally Ill</subject><subject>Terminally ill people</subject><issn>0885-3924</issn><issn>1873-6513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1v1DAQhi0EokvhLyBzgF7IYsfx17FaUVqpEqt2OVuOPZG8ysdiJyvtL-Bv43QjlRNwsjTzzLzWPAh9oGRNCRVf9uv9wYY-nbrO9uuSEJ7ra0LkC7SiSrJCcMpeohVRihdMl9UFepPSnmSQCfYaXVAhNauUWqFfW9u2wY7hCHgLsRliXukAP452nNJnfAs2jvjBjoBt7_EDpEOIdhziaSkmvI3gg3vacGNdbiU8NPhxisdwtC3ehQ5w6PEOYhf6nHbCd22LN3NMxNscDf2Y3qJXjW0TvFveS_Tj5utuc1vcf_92t7m-Lxyneixk45WiNQftrdcCFJGq5rVmynGrReU9OM25qjUBAtrKfBxaN7WXlgmRuUt0dd57iMPPCdJoupActK3tYZiSkaIqlZJVlclPfyWF4oKVXP4T5JIwodWcrc-gi0NKERpziKGz8WQoMbNYszd_iDWz2LmVxebZ90vIVHfgnycXkxn4uAA2Ods2Md83pGdO6qoSsszc5sxBvvIxQDTJZQMuO4zgRuOH8B_f-Q3U8MlP</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>de Miguel Sánchez, Cristina</creator><creator>Elustondo, Sofía Garrido</creator><creator>Estirado, Alicia</creator><creator>Sánchez, Fernando Vicente</creator><creator>de la Rasilla Cooper, Cristina García</creator><creator>Romero, Andrés López</creator><creator>Otero, Angel</creator><creator>Olmos, Luis García</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20060601</creationdate><title>Palliative Performance Status, Heart Rate and Respiratory Rate as Predictive Factors of Survival Time in Terminally Ill Cancer Patients</title><author>de Miguel Sánchez, Cristina ; Elustondo, Sofía Garrido ; Estirado, Alicia ; Sánchez, Fernando Vicente ; de la Rasilla Cooper, Cristina García ; Romero, Andrés López ; Otero, Angel ; Olmos, Luis García</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-7fd881b5e9dad96e8078b5b938c5a964ddec9558b90e0e9a72001bfbd7a366b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>advanced cancer</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cancer</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Health Status</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Karnofsky Performance Status</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasms - complications</topic><topic>Neoplasms - mortality</topic><topic>Neoplasms - physiopathology</topic><topic>Palliative Care</topic><topic>Pharmacology. Drug treatments</topic><topic>Predictive Value of Tests</topic><topic>prognostic factors</topic><topic>Respiration</topic><topic>Survival Rate</topic><topic>Terminally Ill</topic><topic>Terminally ill people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Miguel Sánchez, Cristina</creatorcontrib><creatorcontrib>Elustondo, Sofía Garrido</creatorcontrib><creatorcontrib>Estirado, Alicia</creatorcontrib><creatorcontrib>Sánchez, Fernando Vicente</creatorcontrib><creatorcontrib>de la Rasilla Cooper, Cristina García</creatorcontrib><creatorcontrib>Romero, Andrés López</creatorcontrib><creatorcontrib>Otero, Angel</creatorcontrib><creatorcontrib>Olmos, Luis García</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of pain and symptom management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Miguel Sánchez, Cristina</au><au>Elustondo, Sofía Garrido</au><au>Estirado, Alicia</au><au>Sánchez, Fernando Vicente</au><au>de la Rasilla Cooper, Cristina García</au><au>Romero, Andrés López</au><au>Otero, Angel</au><au>Olmos, Luis García</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Palliative Performance Status, Heart Rate and Respiratory Rate as Predictive Factors of Survival Time in Terminally Ill Cancer Patients</atitle><jtitle>Journal of pain and symptom management</jtitle><addtitle>J Pain Symptom Manage</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>31</volume><issue>6</issue><spage>485</spage><epage>492</epage><pages>485-492</pages><issn>0885-3924</issn><eissn>1873-6513</eissn><coden>JSPME2</coden><abstract>To determine which symptoms, signs, and characteristics that define the patient's functional status predict the survival time in terminally ill cancer patients, a prospective longitudinal study was conducted with terminally ill cancer patients followed by a Home Care Support Team. 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subjects | Activities of Daily Living Adult advanced cancer Aged Aged, 80 and over Biological and medical sciences Cancer Cohort Studies Female Health Status Heart Rate Humans Karnofsky Performance Status Male Medical sciences Middle Aged Neoplasms - complications Neoplasms - mortality Neoplasms - physiopathology Palliative Care Pharmacology. Drug treatments Predictive Value of Tests prognostic factors Respiration Survival Rate Terminally Ill Terminally ill people |
title | Palliative Performance Status, Heart Rate and Respiratory Rate as Predictive Factors of Survival Time in Terminally Ill Cancer Patients |
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