首页> 外文期刊>The American journal of hospice and palliative care >Mini-Suffering State Examination scale: possible key criterion for 6-month survival and mortality of critically ill dementia patients.
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Mini-Suffering State Examination scale: possible key criterion for 6-month survival and mortality of critically ill dementia patients.

机译:小型痛苦状态检查量表:重症痴呆患者6个月生存和死亡率的可能关键标准。

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摘要

Six months of survival as a key criterion is extremely important for decision making in enrollment of critically ill patients to palliative settings. This was a prospective cohort study with 6 months of follow-up during a 24-month period performed in the Division of Geriatric Medicine in a tertiary general hospital. One-hundred three consecutively admitted, bedridden patients with end-stage dementia were evaluated. The Mini-Suffering State Examination scale was performed. Interrelations between the Mini-Suffering State Examination score at admission and 6-month survival and mortality were evaluated. A significant difference was proven among survival curves of subgroups of patients according to the mini scores (0-3, 4-6, 7-10). Survival was shorter and mortality higher in patients with a high Mini-Suffering State Examination score, as shown by the Kaplan-Meier method using the log rank (P=.001) and Breslow tests (P=.001). The Mini-Suffering State Examination scale is useful for predicting the last 6 months of survival and mortality of end-stage dementia patients.
机译:六个月生存作为关键标准对于危重患者入息治疗的决策至关重要。这是一项前瞻性队列研究,在一家三级综合医院的老年医学科进行了为期24个月的随访,为期6个月。对一百三十名连续入院,卧床不起的晚期痴呆患者进行了评估。进行了迷你痛苦状态检查量表。评估了入院时的微苦状态考试成绩与6个月生存率和死亡率之间的相互关系。根据迷你评分(0-3、4-6、7-10),已证明患者亚组的生存曲线之间存在显着差异。如采用对数等级(P = .001)和Breslow检验(P = .001)的Kaplan-Meier方法所显示的那样,在迷你痛苦状态检查评分较高的患者中,生存期较短,死亡率更高。小型痛苦状态检查量表可用于预测晚期痴呆患者的最近6个月的生存和死亡率。

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