At a glance
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La Febbre Nelle Cure Palliative
In Brief
An observational study evaluating Collection of demographic, anthropometric and clinical data. for Fever and 2 related conditions. Completed, enrolled 145 participants across 1 site.
Detailed Summary
The goal of this observational study is to evaluate the frequency and characteristics of fever in terminally ill adult patients admitted to the Infectious Diseases Hospice at Luigi Sacco Hospital in Milan. The main questions it aims to answer are: * How often does fever occur in terminally ill patients during hospice care? * What are the typical features of fever in this population in terms of intensity, duration, possible causes, and treatment strategies? * Is there any correlation between the occurrence of fever and patients' clinical characteristics, such as age, sex, BMI, comorbidities, and palliative prognostic scores (PPS and PPI)? Participants will be adult patients (≥18 years) with a life expectancy of more than 24 hours and less than 3 months. During their stay, the following data will be collected: * Presence and characteristics of fever (temperature, duration, treatment, suspected cause) * Clinical and demographic information (e.g., age, sex, BMI, comorbidities, performance status) * Details on hospitalization (e.g., symptom burden, need for palliative sedation, outcome) The study will enroll approximately 250 patients consecutively over a 48-week period. No additional procedures or treatments beyond standard clinical care will be required.
Study Details
Timeline
Interventions
Data collected is: * demographic data: age, sex; * anthropometric data: weight, height, body mass index; * clinical data: * Palliative Performance Scale; * Palliative Prognostic Index; * comorbidities; * therapy; * presence of medical devices; * presence of pressure injuries; * time on waiting list; * place of care; * primary diagnosis; * length of stay; * symptom burden at admission (Edmonton Symptom Assessment System); * onset of fever and its characteristics (duration, intensity, treatment, etiology); * need for sedation (duration, refractory symptom(s)); * outcome.