n South African Medical Journal - A point-prevalence survey of public hospital inpatients with palliative care needs in Cape Town, South Africa : research
|Article Title||A point-prevalence survey of public hospital inpatients with palliative care needs in Cape Town, South Africa : research|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 University of Cape Town and 2 University of Cape Town|
|Publication Date||Feb 2014|
|Pages||138 - 141|
Objectives: To assess the need for palliative care among inpatients occupying acute beds in the public sector hospitals of the Cape Town Metropole.
Methods: A cross-sectional, contemporaneous, point-prevalence study was performed at 11 public sector hospitals in the Cape Town Metropole using a standardised palliative care identification tool. Data were collected on the socio-demographic characteristics, diagnoses, and prior and current care planning of patients.
Results: The case notes of 1 443 hospital inpatients were surveyed, and 16.6% were found to have an active life-limiting disease. The mean age of the group was 56 years. The diagnoses were cancer in 50.8%, organ failure in 32.5%, and HIV/tuberculosis in 9.6%. The greatest burden of disease was in the general medical wards, to which an overall 54.8% of patients meeting the requirements for palliative care were admitted.
Conclusions: This study provides evidence for the need for palliative care services in public sector hospitals and in the health system as a whole. The young age of patients and the high prevalences of end-stage renal failure and HIV are unique, and the burden in the general medical wards suggests a focus for initial inpatient programmes.
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