Andes pediatrica : revista Chilena de pediatria · 2025
[Clinical complexity and need for palliative care in non-oncological patients with special health care needs].
СтатьяНаблюдательное исследованиеАннотация на английскомНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Espinoza Núñez Romina, Valdebenito Parra Carlos, Huerta-Armijo Antonio, Prado Ataglic Francisco
Аннотация
UNLABELLED: Categorizing the complexity of Children and Youth with Special Health Care Needs (CYSHCN) could be useful in guiding their need for pediatric palliative care (PPC). However, there are no studies that have evaluated this association.
OBJECTIVE: To evaluate the association between clinical complexity and the requirement for PPC in CYSHCN.
PATIENTS AND METHOD: Observational, cross-sectional, and descriptive study. Data were collected between 2022 and 2023 at the CYSHCN Home Hospitalization Unit of the Hospital Clínico San Borja Arriarán. Non-probabilistic convenience sampling. Patients were categorized according to complexity guidelines for CYSHCN as low, medium, or high; and the "Paediatric Palliative Screening Scale" (PaPaS Scale) was applied to evaluate the need for PPC, categorizing them into: no need for PPC; explain the objectives of PPC to caregivers; prepare the start of PPC, and start the intervention as the central axis of management.
RESULTS: 70 CYSHCN patients were studied, 6 (8.57%) correspond to low complexity, 18 (25.7%) to medium, and 46 (65.7%) to high complexity. Of those studied, 24 (34.2%) did not require intervention, and 46 (65.7%) required PPC with varying degrees of intensity. The association between clinical complexity and the need for PPC had a Pearson correlation coefficient of 0.8225.
CONCLUSION: There is a strong correlation between clinical complexity and the need for PPC in CSHCN in follow-up by the CYSHCN Home Hospitalization Unit. All patients in this study who require intensified palliative care are high-complexity CYSHCN.
OBJECTIVE: To evaluate the association between clinical complexity and the requirement for PPC in CYSHCN.
PATIENTS AND METHOD: Observational, cross-sectional, and descriptive study. Data were collected between 2022 and 2023 at the CYSHCN Home Hospitalization Unit of the Hospital Clínico San Borja Arriarán. Non-probabilistic convenience sampling. Patients were categorized according to complexity guidelines for CYSHCN as low, medium, or high; and the "Paediatric Palliative Screening Scale" (PaPaS Scale) was applied to evaluate the need for PPC, categorizing them into: no need for PPC; explain the objectives of PPC to caregivers; prepare the start of PPC, and start the intervention as the central axis of management.
RESULTS: 70 CYSHCN patients were studied, 6 (8.57%) correspond to low complexity, 18 (25.7%) to medium, and 46 (65.7%) to high complexity. Of those studied, 24 (34.2%) did not require intervention, and 46 (65.7%) required PPC with varying degrees of intensity. The association between clinical complexity and the need for PPC had a Pearson correlation coefficient of 0.8225.
CONCLUSION: There is a strong correlation between clinical complexity and the need for PPC in CSHCN in follow-up by the CYSHCN Home Hospitalization Unit. All patients in this study who require intensified palliative care are high-complexity CYSHCN.