Validation of a concise screening tool for the identification of palliative care needs among inpatients: A prospective study in hospital setting.

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  • Additional Information
    • Source:
      Publisher: Formosan Medical Association, Elsevier Country of Publication: Singapore NLM ID: 9214933 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0929-6646 (Print) Linking ISSN: 09296646 NLM ISO Abbreviation: J Formos Med Assoc Subsets: MEDLINE
    • Publication Information:
      Publication: 2003- : Singapore : Formosan Medical Association, Elsevier
      Original Publication: Taipei, Taiwan : Formosan Medical Association, [1991-
    • Subject Terms:
      Inpatients* ; Needs Assessment* ; Palliative Care*; Chronic Disease/*therapy ; Neoplasms/*therapy; Adult ; Aged ; Aged, 80 and over ; Female ; Health Care Surveys ; Humans ; Male ; Middle Aged ; Prospective Studies ; ROC Curve ; Referral and Consultation ; Sensitivity and Specificity ; Survival Analysis ; Taiwan/epidemiology ; Time Factors
    • Abstract:
      Background/purpose: Very few studies have investigated the screening tools that aim to identify the need of palliative care services among patients with advanced cancer or chronic non-malignant diseases. This study validated the one-page Taiwanese version-Palliative Care Screening Tool (TW-PCST) for screening inpatients with potential palliative care needs.
      Method: ROC curves were produced to examine the sensitivities and specificities at varying cut-off points. The optimal cut-off value to predict mortality was justified using the Youden's index. The screening was conducted on the first day of admission. Patients were prospectively followed-up after the baseline assessment. Three followed-up periods, namely 14 days, 90 days, and 180 days were analyzed.
      Results: A total of 21,596 patients were screened. AUCs for all cut-off scores varied from 0.84 to 0.88. A total-ABCD score ≥2 gave the highest Youden's index for 90 days and 180 days follow-up periods. The optimal cut-point for 14 days was score ≥3.
      Conclusion: The TW-PCST demonstrated a good sensitivity and specificity in identification of inpatients with palliative care needs. A total-ABCD score ≥2 may be considered as a trigger for further referral.
      (Copyright © 2018. Published by Elsevier B.V.)
    • Contributed Indexing:
      Keywords: Admitted patient; Chronic disease; Palliative care; Referral and consultation; Screening tool
    • Publication Date:
      Date Created: 20181204 Date Completed: 20190917 Latest Revision: 20191210
    • Publication Date:
      20240829
    • Accession Number:
      10.1016/j.jfma.2018.10.004
    • Accession Number:
      30502101