The palliative care needs of acute stroke patients: a prospective study of hospital admissions

Age and Ageing
Christopher R BurtonAmanda Jones

Abstract

despite a mortality rate of approximately 30% in acute stroke, little is known about the palliative care needs of this group of patients. prospective study of 191 acute stroke patients admitted to hospital in England. Biographical, medical and stroke-related data were collected. Participants completed the Sheffield Profile for Assessment and Referral to Care (SPARC), a screening tool for referral to specialist palliative care. over 50% reported moderate to significant fatigue-related problems. Approximately 50% reported symptom-related problems (e.g. pain) or psychological distress (e.g. anxiety). Approximately 25% had concerns about death or dying, and 66% had concerns about dependence and disability. Over 50% were worried about the impact of stroke on family members. There were significant main effects of dependence (Barthel Index) (F(1,123) = 12.640 P = 0.001) and age (F(4,123) = 3.022 P = 0.020), and a significant three-factor interaction between dependence, age and co-morbidities (F(9,123) = 2.199 P = 0.026) in predicting total SPARC scores. acute stroke patients have a high prevalence of palliative care needs. Acute stroke services should use the SPARC for needs assessment. Priority for assessment should be given to patie...Continue Reading

References

Jan 1, 1995·Palliative Medicine·J Addington-Hall, M McCarthy
May 7, 1999·Stroke; a Journal of Cerebral Circulation·B IndredavikL L Hâheim
May 7, 1999·Stroke; a Journal of Cerebral Circulation·P Knapp, J Hewison
Aug 25, 1999·Social Science & Medicine·J T LowP Roderick
Feb 27, 2001·Journal of Pain and Symptom Management·J EllershawJ Aldridge
May 4, 2002·Stroke; a Journal of Cerebral Circulation·Eva-Lotta GladerKjell Asplund
Sep 17, 2002·Journal of Pain and Symptom Management·Cecilia SepúlvedaAndreas Ullrich
Sep 17, 2002·Journal of Pain and Symptom Management·Robin L Fainsinger
Nov 19, 2002·Social Science & Medicine·C J McPherson, J M Addington-Hall
Jan 25, 2003·BMJ : British Medical Journal·Stephen E Roberts, Michael J Goldacre
Nov 1, 2003·International Journal of Palliative Nursing·Chris PembertonAnne Howard
Sep 1, 2005·Journal of Advanced Nursing·Joanne Cleary, Jonathan Drennan
Mar 9, 2007·Palliative Medicine·Merryn GottNeil Small
Mar 9, 2007·Palliative Medicine·Christine J McPhersonMary Ann Murray
Jul 28, 2007·Palliative Medicine·T StevensA Jones
Jan 25, 2008·Palliative Medicine·Barbara Gomes, Irene J Higginson
Nov 5, 2008·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nisar AhmedSam H Ahmedzai

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Citations

Apr 16, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·E G BolandJ A Snowden
Jul 25, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·Gillian E MeadScott A Murray
Apr 6, 2016·BMC Palliative Care·Angelika AlonsoKristina Szabo
Sep 25, 2014·Palliative Medicine·Eileen CoweyMatthew Walters
Apr 13, 2013·Palliative Medicine·Clare GardinerAmanda Jones
Jan 31, 2015·Palliative Medicine·Marike E de BoerCees M P M Hertogh
Mar 29, 2014·Stroke; a Journal of Cerebral Circulation·Robert G HollowayUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Clinical Cardiology
Aug 6, 2015·Stroke; a Journal of Cerebral Circulation·Claire J CreutzfeldtJ Randall Curtis
Nov 9, 2016·Stroke; a Journal of Cerebral Circulation·Barbara J Lutz, Theresa Green
Mar 6, 2019·Journal of the American Geriatrics Society·Brystana G KaufmanDonald H Taylor
Apr 3, 2013·Nature Reviews. Neurology·Gian Domenico Borasio
Aug 1, 2018·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Stephanie MolidorCarole L White
Feb 1, 2017·The American Journal of Hospice & Palliative Care·Luiz Guilherme L SoaresRogéria Pereira
Nov 21, 2018·Acta neurologica Belgica·Gülhan SaricamKadriye Kahveci
Feb 29, 2020·Journal of Family Medicine and Primary Care·Fatemeh RezaeiZaynab Ahmadian
Aug 20, 2019·Journal of Palliative Medicine·Brystana G KaufmanNrupen A Bhavsar
Jan 24, 2019·Revista da Associação Médica Brasileira·Nuno Ferreira MonteiroElga Freire
Mar 22, 2019·Frontiers in Neurology·Tobias SteiglederChristoph Ostgathe
Aug 29, 2020·Palliative Medicine Reports·Netana MarkovitzDarin B Zahuranec
Oct 1, 2017·Journal of Neurointerventional Surgery·Thabele Leslie-MazwiUNKNOWN Standards and Guidelines committee of the Society of NeuroInterventional Surgery (SNIS)
Oct 4, 2011·Deutsches Ärzteblatt International·Stefan KnechtPeter Oster

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