UNASSIGNED: To determine the length of time between becoming unresponsive and death, and whether age, gender, diagnosis or location-of-care predicted length of time to death.
UNASSIGNED: Retrospective cohort study. Time from allocation of an Australia-modified Karnofsky Performance Status (AKPS) 10 to death was analysed using descriptive narrative. Interval-censored survival analysis was used to determine the duration of patient\'s final phase of life, taking into account variation across age, gender, diagnosis and location of death.
UNASSIGNED: A total of 786 patients, 18 years of age or over, who received specialist palliative care: as hospice in-patients, in the community and in aged care homes, between January 1st and October 31st, 2022.
UNASSIGNED: The time to death after a change to AKPS 10 is 2 days (n = 382; mean = 2.1; median = 1). Having adjusted for age, cancer, gender, the standard deviation of AKPS for the 7-day period prior to death, the likelihood of death within 2 days is 47%, with 84% of patients dying within 4 days.
UNASSIGNED: This study provides valuable new knowledge to support clinicians\' confidence when responding to the \'how long\' question and can inform decision-making at end-of-life. Further research using the AKPS could provide greater certainty for answering \'how long\' questions across the illness trajectory.
■为了确定反应迟钝和死亡之间的时间长度,无论年龄,性别,诊断或护理地点预测死亡时间长度。
■回顾性队列研究。使用描述性叙述分析了从分配澳大利亚改良的Karnofsky绩效状态(AKPS)10到死亡的时间。间隔删失生存分析用于确定患者生命最后阶段的持续时间,考虑到年龄的差异,性别,死亡的诊断和定位。
■总共786名患者,18岁或以上,接受专科姑息治疗的人:作为临终关怀住院患者,在社区和养老院,1月1日至10月31日,2022年。
■更换AKPS10后的死亡时间为2天(n=382;平均值=2.1;中位数=1)。调整了年龄,癌症,性别,死亡前7天AKPS的标准偏差,2天内死亡的可能性为47%,84%的患者在4天内死亡。
■这项研究提供了有价值的新知识,以支持临床医生在回答“多长时间”问题时的信心,并可以在生命结束时提供决策信息。使用AKPS的进一步研究可以为回答整个疾病轨迹上的“多长时间”问题提供更大的确定性。