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The palliative care needs of acute stroke patients: a prospective study of hospital admissions

The palliative care needs of acute stroke patients: a prospective study of hospital admissions
The palliative care needs of acute stroke patients: a prospective study of hospital admissions
Background: despite a mortality rate of approximately 30% in acute stroke, little is known about the palliative care needs of this group of patients.

Design: prospective study of 191 acute stroke patients admitted to hospital in England. Biographical, medical and stroke-related data were collected. Participants completed the Sheffield Profile for Assessment and Referral to Care (SPARC), a screening tool for referral to specialist palliative care.

Findings: over 50% reported moderate to significant fatigue-related problems. Approximately 50% reported symptom-related problems (e.g. pain) or psychological distress (e.g. anxiety). Approximately 25% had concerns about death or dying, and 66% had concerns about dependence and disability. Over 50% were worried about the impact of stroke on family members. There were significant main effects of dependence (Barthel Index) (F1,123 = 12.640 P = 0.001) and age (F4,123 = 3.022 P = 0.020), and a significant three-factor interaction between dependence, age and co-morbidities (F9,123 = 2.199 P = 0.026) in predicting total SPARC scores.

Conclusions: acute stroke patients have a high prevalence of palliative care needs. Acute stroke services should use the SPARC for needs assessment. Priority for assessment should be given to patients with a score of <15/20 on the Barthel Index, a tool already used in most stroke services.
stroke, palliative care, needs assessment, elderly
0002-0729
554-559
Burton, Christopher R.
ee772195-f5de-4d7e-90f9-37cb6ded394f
Payne, Sheila
d7c97f41-ec69-4157-9339-ca07c521fbcc
Addington-Hall, Julia
87560cc4-7562-4f9b-b908-81f3b603fdd8
Jones, Amanda
b252e3a1-7e42-4b77-9ef0-f8930435368a
Burton, Christopher R.
ee772195-f5de-4d7e-90f9-37cb6ded394f
Payne, Sheila
d7c97f41-ec69-4157-9339-ca07c521fbcc
Addington-Hall, Julia
87560cc4-7562-4f9b-b908-81f3b603fdd8
Jones, Amanda
b252e3a1-7e42-4b77-9ef0-f8930435368a

Burton, Christopher R., Payne, Sheila, Addington-Hall, Julia and Jones, Amanda (2010) The palliative care needs of acute stroke patients: a prospective study of hospital admissions. Age and Ageing, 39 (5), 554-559.

Record type: Article

Abstract

Background: despite a mortality rate of approximately 30% in acute stroke, little is known about the palliative care needs of this group of patients.

Design: prospective study of 191 acute stroke patients admitted to hospital in England. Biographical, medical and stroke-related data were collected. Participants completed the Sheffield Profile for Assessment and Referral to Care (SPARC), a screening tool for referral to specialist palliative care.

Findings: over 50% reported moderate to significant fatigue-related problems. Approximately 50% reported symptom-related problems (e.g. pain) or psychological distress (e.g. anxiety). Approximately 25% had concerns about death or dying, and 66% had concerns about dependence and disability. Over 50% were worried about the impact of stroke on family members. There were significant main effects of dependence (Barthel Index) (F1,123 = 12.640 P = 0.001) and age (F4,123 = 3.022 P = 0.020), and a significant three-factor interaction between dependence, age and co-morbidities (F9,123 = 2.199 P = 0.026) in predicting total SPARC scores.

Conclusions: acute stroke patients have a high prevalence of palliative care needs. Acute stroke services should use the SPARC for needs assessment. Priority for assessment should be given to patients with a score of <15/20 on the Barthel Index, a tool already used in most stroke services.

Full text not available from this repository.

More information

Published date: September 2010
Keywords: stroke, palliative care, needs assessment, elderly

Identifiers

Local EPrints ID: 162817
URI: https://eprints.soton.ac.uk/id/eprint/162817
ISSN: 0002-0729
PURE UUID: a56f4646-1c28-45dc-88e6-7d1f0583eee7

Catalogue record

Date deposited: 31 Aug 2010 08:49
Last modified: 19 Oct 2017 13:05

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