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- Title
Equipe interconsultora em cuidados paliativos: alívio de sintomas nas primeiras 48 horas de hospitalização.
- Authors
dos Santos Silva, Magda Aparecida; Diniz, Marcio Augusto; Tavares de Carvalho, Ricardo; Chiba, Toshio; Andrucioli de Mattos-Pimenta, Cibele
- Abstract
Objective: To compare the relief of symptoms provided by palliative care consultation team (PCCT) compared to the traditional care team (TC), in patients with advanced cancer in the first 48 hours of hospitalization. Method: Allocated to PCCT Group and TC Grou p, this study assessed 290 patients according to the Edmonton Symptom Assessment System (ESAS) within the first 48 hours of hospitalization. The main outcome was a minimum 2-point reduction in symptom intensity. Results: At 48 hours, the PCCT Group had a 2-point reduction in the mean differences (p <0.001) in pain, nausea, dyspnea, and depression; and TC Group, on nausea and sleep impairment (p <0.001). Multiple Logistic Regression found for the PCCT Group a greater chance of pain relief (OR 2.34; CI 1.01-5.43; p = 0.049). Conclusion: There was superiority of the PCCT Group for pain relief, dyspnea and depression. There is a need for more studies that broaden the understanding of team modalities.
- Subjects
PREVENTION of mental depression; CANCER patients; CANCER pain; CLINICAL trials; CONFIDENCE intervals; DYSPNEA; HOSPITAL care; MEDICAL referrals; NAUSEA; PALLIATIVE treatment; TUMORS; SEVERITY of illness index; DESCRIPTIVE statistics; ODDS ratio; SYMPTOMS
- Publication
Revista Brasileira de Enfermagem, 2020, Vol 73, p1
- ISSN
0034-7167
- Publication type
Article
- DOI
10.1590/0034-7167-2019-0391