The Palliative Care Screening Tool as an instrument for recommending palliative care for older adults
Abstract The objective of the present study was to evaluate the use of the Palliative Care Screening Tool (PCST) for the recommendation of palliative care among older patients admitted to an Intensive Care Unit, as well as to evaluate the prevalence of basic diseases, religion and agreement between...
Saved in:
Published in | Revista brasileira de geriatria e gerontologia Vol. 22; no. 5 |
---|---|
Main Authors | , , , |
Format | Journal Article |
Language | English Portuguese |
Published |
Universidade do Estado do Rio Janeiro
2019
Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Abstract The objective of the present study was to evaluate the use of the Palliative Care Screening Tool (PCST) for the recommendation of palliative care among older patients admitted to an Intensive Care Unit, as well as to evaluate the prevalence of basic diseases, religion and agreement between the results of the PCST and the Palliative Performance Scale (PPS). A cross-sectional, descriptive, analytical, retrospective, documental study with a quantitative approach was performed. Analysis of 594 medical records revealed that cardiovascular diseases accounted for 26.8% of hospitalizations among older adults, followed by neoplasia 20.2% and renal failure 16.8%, and that aspects related to the religiosity and spirituality of the older adults were not considered. There was agreement of 1.0 between the PCST and PPS scales, as measured by the Kappa test, a score considered to be perfect. The PCST can therefore be considered an excellent tool for the evaluation of palliative care among older adults. It can be concluded that, in view of the significant level of agreement between the scales, new studies using the PCST with larger samples should be performed, with the aim of extending the use of the tool, and to assess if there is a need for adjustments aimed at adapting it more closely to the Brazilian population.
Resumo O objetivo do estudo foi avaliar a utilização da escala Palliative Care Screening Tool (PCST) na indicação de cuidados paliativos em idosos internados em Unidade de Terapia Intensiva, bem como, a prevalência das doenças de base, religião e concordância entre os resultados na aplicação das escalas PCST e Palliative Performance Scale (PPS). Estudo transversal, descritivo, analítico, retrospectivo, documental com abordagem quantitativa. A análise de 594 prontuários revelou que as doenças cardiovasculares corresponderam a 26,8%, das internações, seguida de neoplasias 20,2% e insuficiência renal 16,8% entre os idosos e que os aspectos relacionados a religiosidade e espiritualidade dos idosos não foram considerados. Houve concordância de 1,0 na aplicação do teste de kappa, considerada perfeita, entre as escalas PCST e PPS e, desta forma, a escala PCST pode ser um excelente instrumento na avaliação de cuidados paliativos em idosos. Conclui-se que frente ao significativo nível de concordância entre as escalas, novos estudos com amostras maiores devem ser realizados utilizando essa escala PCST, visando ampliar a utilização da mesma e analisar se há necessidade de ajustes voltados à maior adequação na população brasileira. |
---|---|
ISSN: | 1809-9823 1981-2256 1981-2256 |
DOI: | 10.1590/1981-22562019022.190143 |