دورية أكاديمية
Palliative Care in Advanced Alzheimer's Disease Dementia: Evaluation of the Answers Given by Caregivers and Physicians to the Accuracy of Surprise Question, as a Prognostic Tool.
| العنوان: | Palliative Care in Advanced Alzheimer's Disease Dementia: Evaluation of the Answers Given by Caregivers and Physicians to the Accuracy of Surprise Question, as a Prognostic Tool. |
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| المؤلفون: | Yuyama EK; Ribeirão Preto Medical School of the University of São Paulo [USP], Ribeirão Preto, Brazil., Lima NKDC; Ribeirão Preto Medical School of the University of São Paulo [USP], Ribeirão Preto, Brazil., Ferrioli E; Ribeirão Preto Medical School of the University of São Paulo [USP], Ribeirão Preto, Brazil., Dos Santos AFJ; Ribeirão Preto Medical School of the University of São Paulo [USP], Ribeirão Preto, Brazil., Amorim RS; Aracajú University of Sergipe- UFS, Aracajú, Brazil., Moriguti JC; Ribeirão Preto Medical School of the University of São Paulo [USP], Ribeirão Preto, Brazil. |
| المصدر: | The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2023 Jun; Vol. 40 (6), pp. 624-632. Date of Electronic Publication: 2022 Aug 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 9008229 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-2715 (Electronic) Linking ISSN: 10499091 NLM ISO Abbreviation: Am J Hosp Palliat Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Thousand Oaks, Calif. : Sage Publications Original Publication: Weston, MA : Prime National Pub. Corp., c1990- |
| مواضيع طبية MeSH: | Alzheimer Disease*/therapy , Physicians*, Humans ; Palliative Care ; Prospective Studies ; Caregivers ; Prognosis |
| مستخلص: | Introduction : Alzheimer's disease (AD) dementia is the sixth leading cause of death in the United States. The surprise question (SQ) "Would you be surprised if this patient were to die within the next 12 months?" was used to identify death-risk patients, who could benefit from palliative care. Objective : To examine the prognostic accuracy of the SQ by physicians and caregivers in outpatients with AD dementia. Methods : This is a longitudinal and prospective study involving 101 patients along 1 year, applying the SAS 9.2 software and adopting a .05 P -value to assess the variables that influenced answers to the accuracy of SQ using the chi-square test. Results : 27 patients (26.7%) died during the follow-up. When caregivers answered the SQ, it presented a 51.8% sensitivity (CI 31.9 - 71.3), a 66.7% negative predictive value (20.7 - 63.6), a 56.2% specificity (CI 29.8 - 80.2), and a 40.9% positive predictive value of (CI 43.0 - 85.4) with a 53.4% accuracy (CI 38.5 - 68.4). When physicians answered, the SQ had an 88.8% sensitivity (CI 70.8 - 97.6), a 40% negative predictive value (CI 5.2 - 85.3), a 12.5% specificity (CI 1.5 - 38.3), a 63.1% positive predictive value (CI 45.9 - 78.1) with a 60.4% accuracy (CI 45.8 - 75). Conclusion : SQ remains a good tool with high sensitivity for the identification of patients with advanced AD dementia when presented to the attending physician for planning palliative advanced care with accuracy of 60.4% and caregivers' accuracy of 53.4%. |
| فهرسة مساهمة: | Keywords: Alzheimer’s; palliative care; surprise question |
| تواريخ الأحداث: | Date Created: 20220812 Date Completed: 20230605 Latest Revision: 20230605 |
| رمز التحديث: | 20230605 |
| DOI: | 10.1177/10499091221121328 |
| PMID: | 35961638 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1938-2715 |
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| DOI: | 10.1177/10499091221121328 |