Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil

Detalhes bibliográficos
Autor(a) principal: Soares, Luiz Guilherme L.
Data de Publicação: 2018
Outros Autores: Japiassu, André M., Gomes, Lúcia C., Pereira, Rogéria, Peçanha, Carla, Goldgaber, Tatiana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/33655
Resumo: Hospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.
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spelling Soares, Luiz Guilherme L.Japiassu, André M.Gomes, Lúcia C.Pereira, RogériaPeçanha, CarlaGoldgaber, Tatiana2019-06-25T13:44:58Z2019-06-25T13:44:58Z2018SOARES, Luiz Guilherme L. et al. Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil. Annals of Palliative Medicine, v. 7, n. 4, p. 437-443, 2018.2224-5820https://www.arca.fiocruz.br/handle/icict/3365510.21037/apm.2018.05.06engPrevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Medicina Intensiva. Rio de Janeiro, RJ, Brasil.Hospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.Hospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.Hospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.Hospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.As death approaches, there may be similarities in terms of physical symptoms among dementia and cancer. This study aimed to estimate the prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia versus those dying with advanced cancer. Methods: A retrospective analysis, conducted in a post-acute care facility (PACF) in Rio de Janeiro, Brazil. We reviewed the electronic charts for the Edmonton Symptom Assessment System (ESAS) scores, from death backwards in time (3 days). Results: We included 57 patients who died with dementia and 54 patients who died with cancer. The prevalence of dyspnea (dementia: n=34, 60% vs. cancer: n=39, 72%; P=0.23), and agitation (dementia: n=7, 13% vs. cancer: n=14, 25%; P=0.17) were statically similar between the two groups. Pain was less common in dementia (dementia: n=19, 34% vs. cancer: n=31, 57%; P=0.02). There were no significant differences in the percentage of patients with moderate to severe dyspnea (dementia: n=28, 49% vs. cancer: n=33, 61%; P=0.28), and moderate to severe agitation (dementia: n=4, 7% vs. cancer: n=12, 23%; P=0.09). Dementia patients were less likely to experience moderate to severe pain than cancer patients (dementia: n=14, 25% vs. cancer: n=25, 46%; P=0.03). The diagnosis of cancer was independently associated with pain, severe symptoms, and the co-occurrence of dyspnea, pain, and agitation (odds ratio >1). Conclusions: People dying with dementia and those dying with cancer experienced similar rates of dyspnea, and agitation. However, pain was significantly more prevalent and intense among people dying with cancer.End of life careDementiaCancerinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/33655/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_Soares_Luiz_etal_INI_2018.pdfve_Soares_Luiz_etal_INI_2018.pdfapplication/pdf233189https://www.arca.fiocruz.br/bitstream/icict/33655/2/ve_Soares_Luiz_etal_INI_2018.pdfcf9dc87c3730e57d5104ff0623c21441MD52TEXTve_Soares_Luiz_etal_INI_2018.pdf.txtve_Soares_Luiz_etal_INI_2018.pdf.txtExtracted texttext/plain25209https://www.arca.fiocruz.br/bitstream/icict/33655/3/ve_Soares_Luiz_etal_INI_2018.pdf.txt4f7e13b554b1b79022a3f648a5f54984MD53icict/336552019-06-26 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dc.title.pt_BR.fl_str_mv Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
title Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
spellingShingle Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
Soares, Luiz Guilherme L.
End of life care
Dementia
Cancer
title_short Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
title_full Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
title_fullStr Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
title_full_unstemmed Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
title_sort Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil
author Soares, Luiz Guilherme L.
author_facet Soares, Luiz Guilherme L.
Japiassu, André M.
Gomes, Lúcia C.
Pereira, Rogéria
Peçanha, Carla
Goldgaber, Tatiana
author_role author
author2 Japiassu, André M.
Gomes, Lúcia C.
Pereira, Rogéria
Peçanha, Carla
Goldgaber, Tatiana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Soares, Luiz Guilherme L.
Japiassu, André M.
Gomes, Lúcia C.
Pereira, Rogéria
Peçanha, Carla
Goldgaber, Tatiana
dc.subject.en.pt_BR.fl_str_mv End of life care
Dementia
Cancer
topic End of life care
Dementia
Cancer
description Hospital Placi. Post-Acute Care Services and Palliative Care Program. Rio de Janeiro, RJ, Brazil.
publishDate 2018
dc.date.issued.fl_str_mv 2018
dc.date.accessioned.fl_str_mv 2019-06-25T13:44:58Z
dc.date.available.fl_str_mv 2019-06-25T13:44:58Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SOARES, Luiz Guilherme L. et al. Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil. Annals of Palliative Medicine, v. 7, n. 4, p. 437-443, 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/33655
dc.identifier.issn.pt_BR.fl_str_mv 2224-5820
dc.identifier.doi.none.fl_str_mv 10.21037/apm.2018.05.06
identifier_str_mv SOARES, Luiz Guilherme L. et al. Prevalence and intensity of dyspnea, pain, and agitation among people dying with late stage dementia compared with people dying with advanced cancer: a single-center preliminary study in Brazil. Annals of Palliative Medicine, v. 7, n. 4, p. 437-443, 2018.
2224-5820
10.21037/apm.2018.05.06
url https://www.arca.fiocruz.br/handle/icict/33655
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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