Prevalence of Sudden Death in Palliative Care: Data From the Australian Palliative Care Outcomes Collaboration

Ekström, Magnus; Vergo, Maxwell T.; Ahmadi, Zainab; Currow, David C.

doi:10.1016/j.jpainsymman.2016.02.015

Cited by 13 publications

(31 citation statements)

References 28 publications

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“…There is a cohort of people with life-limiting illnesses who experience sudden death, but that cohort should not be reflected in these data. 39,40 However, these patients were not removed from the dataset as they do constitute part of the whole, with the small numbers observed as having reasonable performance status not affecting the overall models.…”

Section: Discussionmentioning

confidence: 99%

Physical Symptoms at the Time of Dying Was Diagnosed: A Consecutive Cohort Study To Describe the Prevalence and Intensity of Problems Experienced by Imminently Dying Palliative Care Patients by Diagnosis and Place of Care

Clark

Connolly

Clapham

et al. 2016

Journal of Palliative Medicine

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Section: Discussionmentioning

confidence: 99%

Physical Symptoms at the Time of Dying Was Diagnosed: A Consecutive Cohort Study To Describe the Prevalence and Intensity of Problems Experienced by Imminently Dying Palliative Care Patients by Diagnosis and Place of Care

Clark

Connolly

Clapham

et al. 2016

Journal of Palliative Medicine

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“…Kematian mendadak merupakan kasus kematian yang terjadi tanpa adanya keluhan kesehatan sebelumnya sehingga tidak diketahui penyebab kematiannya, dan kejadian kematian mendadak paling tinggi terjadi pada saat di rumah. 1,2 Menurut World Health Organization (WHO), kematian mendadak adalah kematian yang terjadi dalam 24 jam dari munculnya tanda-tanda gejala penyakit. Pada kasus-kasus forensik kematian mendadak terjadi dalam hitungan menit atau bahkan detik sejak gejala pertama timbul dan terjadi tidak terduga.…”

Section: Pendahuluanunclassified

“…Pada data penelitian yang dikumpulkan oleh spesialis paliatif layanan perawatan dari hasil kolaborasi perawatan paliatif di Australia melalui studi kohort berturut-turut secara prospektif diperoleh 13.966 kasus dengan rerata usia 40-70 tahun. 2 Perbedaan beberapa penelitian yang telah dipaparkan hanya pada pengelompokan usia saja, sedangkan hasil penelitiannya serupa dengan penelitian ini, yaitu kelompok usia terjadinya kematian mendadak tersering ialah usia 20-60 tahun.…”

Section: Bahasanunclassified

Penyebab Kematian Mendadak di Sulawesi Utara Periode Tahun 2017-2019

Suwu¹,

Siwu²,

Mallo³

2021

eCL

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According to the World Health Organization, sudden death occurs within 24 hours of symptom appearing. In forensic cases, most sudden deaths occur within minutes or even seconds after the first symptoms appear and occur unexpectedly. Causes of sudden deaths could be any disease classified according to the body systems. This study was aimed to determine the causes of sudden deaths in North Sulawesi during the period of 2017-2019. This was a retrospective and descriptive study using sudden death data of Visum et Repertum at the Forensic and Medicolegal Installation of Prof. Dr. R. D. Kandou Hospital Manado during 2017-2019. The results showed that there were 9 cases of sudden death that were autopsied. Most cases were in the middle age group of 40-60 years with a total of 6 cases, followed by 2 cases at the age of 13-21 years, and 1 case at the age of >60 years. Ratio of male to female cases was 8:1. There were 4 cases of cardiovascular diseases, 2 cases of respiratory diseases, 2 cases of central nervous diseases, 1 case of digestive system; no cases of urogenital diseases. In conclusion, most sudden death cases in North Sulawesi during the period of 2017-2019 were males, aged 40-60 years, and caused by cardiovascular diseases.Keywords: causes of sudden death Abstrak: Menurut World Health Organization, kematian mendadak adalah kematian yang terjadi pada 24 jam sejak gejala-gejala timbul. Pada sebagian besar kasus forensik, kematian terjadi dalam hitungan menit atau bahkan detik sejak gejala pertama timbul dan terjadi secara tidak terduga. Penyebab kematian mendadak dapat disebabkan oleh berbagai penyakit yang diklasifikasikan menurut sistem tubuh. Penelitian ini bertujuan untuk mengetahui penyebab kematian mendadak di Sulawesi Utara periode tahun 2017-2019. Jenis penelitian ialah deskriptif retrospektif menggunakan data Visum et Repertum jenazah dengan kematian mendadak di Instalasi Forensik dan Medikolegal RSUP Prof. Dr. R. D. Kandou Manado tahun 2017-2019. Hasil penelitian mendapatkan 9 kasus kematian mendadak yang diautopsi; 6 kasus pada kelompok tengah usia 40-60 tahun; 2 kasus pada usia 13-21 tahun; dan 1 kasus pada usia >60 tahun. Jenis kelamin didominasi oleh laki-laki dibandingkan perempuan (8:1). Didapatkan 4 kasus dengan penyakit sistem kardiovaskuler, 2 kasus dengan penyakit sistem pernapasan, 2 kasus dengan penyakit sistem susunan saraf pusat, dan 1 kasus dengan sistem saluran cerna; tidak ditemukan kasus dengan penyakit sistem urogenitalia. Simpulan penelitian ini ialah sebagian besar kasus kematian mendadak di Sulawesi Utara periode tahun 2017-2019 berjenis kelamin laki-laki, usia 40-60 tahun, dan disebabkan oleh penyakit sistem kardiovaskuler.Kata kunci: penyebab kematian mendadak

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“…In the weeks prior to death in a palliative care population, the prevalence and intensity of breathlessness is reported to increase and functional status most often worsens [7,8]. This phenomenon has been described in several datasets and includes people with a wide range of recorded causes of death, including frailty, dementia and those perceived to have had a "sudden" death [9][10][11][12]. To date, two cohort studies have proposed contradictory effects of performance status on chronic breathlessness at the end of life: one suggested that decreasing performance status is associated with the increasing breathlessness and the other, the opposite [10,13].…”

Section: Introductionmentioning

confidence: 99%

“…The relationship between breathlessness and functional status at the end of life is important to inform clinical discussions with concerned patients and their relatives, and to guide research in ways of best palliating breathlessness. At least two distinct trajectories of function and their relation to breathlessness need to be understood: 1) progressive functional decline and 2) sudden deterioration in the setting of a known life-limiting illness [9,12]. Such patterns may also provide important insights into the underlying pathologies leading to different trajectories of dying and the need to pay heed to symptom exacerbations even in the last weeks of life.…”

Section: Introductionmentioning

confidence: 99%

Missed opportunity? Worsening breathlessness as a harbinger of death: a cohort study

Currow

Smith²,

Chansriwong

et al. 2018

Eur Respir J

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The aim of the study was to explore trajectories of breathlessness intensity by function and life-limiting illness diagnosis in the last 3 weeks of life in palliative care patients.A prospective, consecutive cohort study obtained point-of-care data of patients of Silver Chain Hospice Care Service (Perth, Australia) over the period 2011-2014 (n=6801; 51 494 data-points). Breathlessness intensity (0-10 numerical rating scale) and physical function (Australia-modified Karnofsky Performance Status (AKPS)) were measured at each visit. Time was anchored at death. Breathlessness trajectory was analysed by physical function and diagnosis using mixed effects regression.Mean±sd age was 71.5±15.1 years and 55.2% were male, most with cancer. The last recorded AKPS was >40 for 26.8%. Breathlessness was worst in people with cardiorespiratory disease and AKPS >40, and breathlessness in the last week of life increased most in this group (adjusted mean 2.92 all others 1.51; p=0.0001). The only significant interaction was with diagnosis and function in the last week of life (p<0.0001).Breathlessness is more intense and increases more in people with better function and cardiorespiratory disease immediately before death. Whether there are reversible causes for these people should be explored prospectively. Omitting function from previous population estimates may have overestimated breathlessness intensity for many patients in the days preceding death.

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Prevalence of Sudden Death in Palliative Care: Data From the Australian Palliative Care Outcomes Collaboration

Abstract: This study quantifies rates of sudden death in hospice/palliative care and has implications for conversations about prognosis between clinicians, patients, and their families.

Cited by 13 publications

References 28 publications

Physical Symptoms at the Time of Dying Was Diagnosed: A Consecutive Cohort Study To Describe the Prevalence and Intensity of Problems Experienced by Imminently Dying Palliative Care Patients by Diagnosis and Place of Care

Physical Symptoms at the Time of Dying Was Diagnosed: A Consecutive Cohort Study To Describe the Prevalence and Intensity of Problems Experienced by Imminently Dying Palliative Care Patients by Diagnosis and Place of Care

Penyebab Kematian Mendadak di Sulawesi Utara Periode Tahun 2017-2019

Missed opportunity? Worsening breathlessness as a harbinger of death: a cohort study

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