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
Hauptverfasser: 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
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container_end_page 492
container_issue 6
container_start_page 485
container_title Journal of pain and symptom management
container_volume 31
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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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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