The Effect of Nutritional Status on Quality of Life in Palliative Care Patients

Karaca, Ahmet Serdar; Can, Seven Mehmet; Aylaz, Gökçe; Yüce, Bircan Huseyin; Feza, Yarbug Karakayalı

doi:10.1007/s12262-019-02013-z

Cited by 4 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Adequate and balanced nutrition is an important element that increases the quality of life in palliative care patients (14). Only 4.9% of our patients were receiving parenteral nutrition, which was considerably lower than the rates of parenteral nutrition reported in palliative care (15).…”

Section: Discussionmentioning

confidence: 58%

Evaluation of Demographic, Clinical Characteristics and Laboratory Values of Pediatric Patients Followed in Palliative Care

Sargın,

Değirmencioğlu,

Sevgili

et al. 2023

Pediatric Practice and Research

View full text Add to dashboard Cite

Background/Aims: The importance of pediatric palliative care centers, which we think is insufficient both in the world and in our country, is increasing. The aim of this study is to reveal the demographic, clinical and laboratory characteristics of pediatric patients followed in a palliative care center. Methods: In this retrospective study, demographic data (age, gender), laboratory findings (platelet, mean platelet volume, lymphocyte, neutrophil counts, glucose, sodium, potassium, urea) of pediatric patients followed up in an adult palliative care center between 18.10.2018 and 15.01.2023, creatinine, albumin and the C-reactive protein, CRP/albumin ratio, platelet/lymphocyte ratio and neutrophil/lymphocyte ratio) and clinical features (length of stay in PCU and survival) were evaluated. Results: It was determined that 61 pediatric patients between the ages of 2-17 were followed up in the palliative care center between 18 October 2018 and 15 January 2023. 65.6% of the patients were male and 6.6% were Syrian citizens. The duration of stay in the palliative care center was between 1-64 days. While 16.4% of the patients had tracheostomy, 14.8% needed home mechanical ventilator. Only 3 (4.9%) patients received parenteral nutrition. The diagnosis of admission to the palliative care center of 47 (77.0%) patients included in the study had neurological sequelae after head trauma. The mortality rate was 1.6%. Conclusions: It is obvious that the centers are insufficient in the face of the increasing need for pediatric palliative care. Although adult palliative care centers are compensating for this deficiency at this stage, it is clearly seen that the number of pediatric palliative care centers should be increased in the future.

show abstract

Section: Discussionmentioning

confidence: 58%

Evaluation of Demographic, Clinical Characteristics and Laboratory Values of Pediatric Patients Followed in Palliative Care

Sargın,

Değirmencioğlu,

Sevgili

et al. 2023

Pediatric Practice and Research

View full text Add to dashboard Cite

show abstract

“…Palliative care aims to provide symptom relief and improve quality of life through the collaboration of a multidisciplinary team. Adequate and balanced nutrition is one of the parameters that increase the quality of life [1]. Inadequate or unbalanced nutrition leads to malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Frequency of malnutrition and associated risk factors in geriatric patients in a palliative care unit

Akpinar,

Cil,

Taşar

et al. 2024

View full text Add to dashboard Cite

Introduction:Our study aimed to determine the frequency of malnutrition and associated risk factors in older patients receiving palliative care. Material and methods:This prospective cross-sectional study was performed with older patients hospitalized and treated in the palliative care unit of our university between December 1, 2022 and June 1, 2023. The demographic characteristics of the patients, reasons for palliative care admission, and the referring unit were recorded. The patients' nutritional status was assessed using the full mini nutritional assessment (MNA) and the geriatric nutritional risk index (GNRI). Selected laboratory parameters were recorded at admission to the palliative care unit. Results:The 371 patients included in the study had a median age of 74 years and 58.5% were female. Malnutrition was detected more frequently in geriatric palliative care patients with cerebrovascular disease, malignancy, dementia, and congestive heart failure. Malnutrition was detected in 69.32% of the patients according to GNRI and in 64.80% according to MNA. Prealbumin had the highest specificity (92.3%) at a cut-off value of 0.175 mg/dl. The multivariate logistic regression model created with these variables showed that female sex, Ca, Cl, prealbumin, and hemoglobin were significant independent risk factors for malnutrition (p < 0.05). Female sex was associated with 2.5 times higher odds of malnutrition. Conclusions:The prevalence of malnutrition was found to be high among geriatric palliative care patients in our study. The geriatric nutritional risk index can be used to diagnose malnutrition in immobile older palliative care patients and may be applied in routine patient follow-up to help improve quality of life.

show abstract

“…Adequate and balanced nutrition is known to increase the quality of life. 1 Malnutrition may develop in case of inadequate or unbalanced nutrition. Inadequate and unbalanced nutrition may lead to malnutrition.…”

Section: Introductionmentioning

confidence: 99%

Prediction of Prognosis in Geriatric Palliative Care Patients with Diagnosed Malnutrition: A Comparison of Nutritional Assessment Parameters

Deligöz

Ekinci

2022

CIA

View full text Add to dashboard Cite

Malnutrition is very commonly encountered in palliative care centers (PCC), especially in geriatric patients. It is known that development of malnutrition increases morbidity and mortality. In this study, we aimed to investigate the effectiveness of commonly used nutritional assessment parameters in predicting prognosis in geriatric patients diagnosed in PCC with malnutrition. Methods: Our study included 1451 patients aged ≥65 years, who were diagnosed with malnutrition in PCC between 2016-2020 and did not yet start receiving nutritional support. Demographic data, comorbidities, The Nutritional Risk Screening 2002 (NRS-2002, body mass index (BMI), albumin, prealbumin and C-reactive protein (CRP) values of the patients were recorded. Prognostic course was evaluated by dividing the patients into 3 groups, namely mortal patients during PCC follow-up, patients transferred from PCC to Intensive Care (ICU) and patients discharged to home from PCC. Results: Logistic Regression analysis showed that low albumin levels affected transfer to ICU (P<0.05). Elevated NRS-2002 and low albumin and prealbumin levels were found to be factors affecting mortality (P<0.05). Areas under the ROC Curve were calculated to attain patients' differential diagnosis. The area under the ROC Curve of low albumin in patients transferred to ICU was found to be significant (P<0.05). In the differential diagnosis of patients with mortal course, the area under the ROC Curve of low albumin and prealbumin and high CRP was found to be significant (P<0.05). Conclusion:We found that BMI had no prognostic predictive effects in geriatric PCC patients with malnutrition. We concluded that NRS-2002 and high CRP and low albumin and prealbumin can be used to predict mortality. In addition, we found that low albumin indicates a poor prognosis and predicts patients to be transferred to ICU.

show abstract

The Effect of Nutritional Status on Quality of Life in Palliative Care Patients

Cited by 4 publications

References 13 publications

Evaluation of Demographic, Clinical Characteristics and Laboratory Values of Pediatric Patients Followed in Palliative Care

Evaluation of Demographic, Clinical Characteristics and Laboratory Values of Pediatric Patients Followed in Palliative Care

Frequency of malnutrition and associated risk factors in geriatric patients in a palliative care unit

Prediction of Prognosis in Geriatric Palliative Care Patients with Diagnosed Malnutrition: A Comparison of Nutritional Assessment Parameters

Contact Info

Product

Resources

About