XXXX care: an epidemiologic study.

@entity1 @entity135 @entity1313 @entity5 @entity22097 @entity320
PURPOSE: To analyze the need for palliative care in hospital @entity1 who have @entity5 . Palliative care is an @entity5 care and identification of palliative care needs (PCNs) of @entity1 with @entity5 is a topic that has not been thoroughly studied. @entity1 AND METHODS: Data were collected prospectively from inpatients of University Medical Center Freiburg in Freiburg, Germany, with 982 hospital beds included in the study. During the observation period of 17 months, each @entity1 discharged from a hospital ward was screened by surveying the treating physician who was responsible for dismissal about @entity1 ' PCNs based on the WHO 1990 definition of palliative care. To complete obligatory electronic discharge management, a modified dismissal form asking to classify the @entity1 as having @entity22097 "yes/no" had to be filled out for each @entity1 discharged. RESULTS: The response rate was 96% with data for 39,849 @entity1 that could be analyzed. A total of 6.9% of all hospital @entity1 and 9.1% of @entity1 older than age 65 years were considered to have PCNs. Of the 2,757 @entity1 with PCNs, 67% (n = 1,836) had @entity5 . Among the 11,584 @entity1 with @entity5 , 15.8% were classified as having PCNs. PCNs were particularly high in @entity1 with @entity135 (28.3%), @entity320 (26.0%), and @entity1313 (18.2%). Suffering from @entity5 increases the probability of developing PCNs by a factor of 3.63 (95% CI, 3.27 to 4.04). For @entity1 with @entity5 , the risk of developing PCNs is increased 12-fold (odds ratio, 12.27; 95% CI, 11.07 to 13.60). CONCLUSION: Structures to provide palliative care for @entity1 with @entity5 are needed.
