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Table 1 Patient characteristics according to NECPAL tool variables

From: Prevalence and clinical characteristics of patients with Advanced Chronic Illness and Palliative Care needs, identified with the NECPAL CCOMS-ICO© Tool at a Tertiary Care Hospital

Variables, n (%)

Non-NECPAL

n = 34

NECPAL

I-II

n = 105

NECPAL III

n = 97

TOTAL

n = 236

P value

Choice/request for PC

0 (0%)

14 (13.3%)

38 (39.2%)

52 (22%)

< 0.001

Need for PC

5 (14.7%)

51 (48.6%)

89 (91.8%)

145 (61.4%)

< 0.001

Weight loss > 10%

4 (20%)

34 (50.7%)

45 (60%)

83 (51.2%)

0.006

Barthel Index < 20

5 (17.2%)

27 (29.3%)

47 (50.5%)

79 (36.9%)

0.001

Loss ≥ 2 ADL

6 (22.2%)

44 (58.7%)

61 (73.5%)

111 (60%)

< 0.001

Functional decline*

5 (20%)

55 (67.9%)

71 (81.6%)

131 (67.9%)

< 0.001

Ulcers

0 (0%)

12 (11.7%)

9 (9.4%)

21 (9.1%)

ns

Recurrent infections

7 (24.1%)

41 (43.6%)

40 (44%)

88 (41.1%)

ns

Delirium

4 (11.8%)

21 (22.6%)

26 (29.9%)

51 (23.8%)

ns

Persistent dysphagia

0 (0%)

13 (13.5%)

23 (26.4%)

36 (17%)

0.002

Falls > 2

3 (17.6%)

14 (20.6%)

7 (10.8%)

24 (16%)

ns

≥ 2 admissions‡

10 (35.7%)

28 (31.5%)

41 (48.8%)

79 (39.3%)

ns

Complex care§

6 (18.2%)

45 (43.3%)

47 (49%)

98 (42.1%)

0.008

Charlson Index ≥ 2

23 (67.6%)

74 (70.5%)

71 (73.2%)

168 (71.2%)

ns

Albumin ≥ 2.5 g/dl

2 (7.7%)

15 (17.2%)

16 (19.8%)

33 (17%)

ns

  1. Need for PC: * Clinicians were asked: “Do you consider that this patient requires palliative treatment at this moment?
  2. Functional decline: clinical perception of functional decline.
  3. † Persistent pressure ulcers (stage III-IV).
  4. ‡ ≥ 2 unplanned emergency hospital or skilled nursing facilities admissions due to chronic disease in the last year.
  5. §Need of complex/intense continuing care, either at an institution or at home.
  6. Abbreviations: n, number of patients, % percentage of patients, PC palliative care, ADL activities of daily living, ns not significant.