Prognostic Factors in Pediatric Palliative Care: Development of a Survival Predicting Score
Appl. cancer res
;
25(2): 65-70, Apr.-June 2005.
Article
in English
| LILACS, Inca
| ID: lil-442303
ABSTRACT
OBJECTIVE:
To identify prognostic factors that predictssurvival in children and adolescents in palliative care.MATERIAL ANDMETHODS:
87 children referred to thepediatric palliative care team were evaluated for socialdemographic, clinical, and laboratory variables.RESULTS:
A prognostic score was developed in 49patients based on a final model, which included thefollowing variables diagnosis, anemia, home careprovider and patients (PPS) score given by homecaregiver. The sum of the single scores has given anoverall score for each patient and was used to subdividethe study population into three groups, with differentprobability of 60-day survival (1) Group A survivalprobability 84.4%; (2) Group B survival probability57.8%; (3) Group C survival probability 15.4% (p<0.001).CONCLUSION:
A pediatric palliative care score basedon easily accessible variables proved to be statisticallysignificant (p<0.05) in a multivariate analysis. The scoreis valid to this population. Factors that helpmultidisciplinary team to predict the life expectancyenable adequate information to be given to patients andfamilies participating in therapeutic decision-makingissues.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Palliative Care
/
Multivariate Analysis
Type of study:
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Child
/
Humans
Language:
English
Journal:
Appl. cancer res
Journal subject:
Neoplasms
Year:
2005
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital do Câncer A. C. Camargo/BR
/
Universidade de São Paulo/BR
Similar
MEDLINE
...
LILACS
LIS