VARIABLES AFFECTING MORTALITY IN PATIENTS IN PALLIATIVE CARE UNITS: OR IS IT STILL JUST ALBUMIN?

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dc.authoridakhan, ayse/0009-0004-1538-8332
dc.authoridSahin, Mehmet Murat/0000-0002-8223-2731
dc.authoridUlutas, Arda/0000-0002-5606-1078
dc.authoridYesilkaya, Abdullah/0009-0000-7715-1382
dc.authoridMeric, Emre/0009-0008-8839-5858
dc.contributor.authorYesilkaya, Abdullah
dc.contributor.authorArikan, Muge
dc.contributor.authorTasdelen, Busra Nur
dc.contributor.authorMeric, Emre
dc.contributor.authorAkhan, Ayse
dc.contributor.authorDindar, Murat
dc.contributor.authorUlutas, Arda
dc.date.accessioned2024-09-29T16:07:50Z
dc.date.available2024-09-29T16:07:50Z
dc.date.issued2024
dc.departmentKarabük Üniversitesien_US
dc.description.abstractIntroduction: This study aimed to evaluate the relationship between biomarkers, clinical prognostic indexes, and mortality in patients without malignancy. Materials and Method: This retrospective study included patients who were followed up in palliative care units between January 2020 and January 2024. Data were collected from patients' digital database records. Demographic characteristics, clinical features, comorbidities, main reasons, and length of hospital stay were recorded. Laboratory parameters were measured at admission. Patient outcomes were also documented. Result: The study included 416 patients. The mortality rate was 28.36% (n=118). When survivors and nonsurvivors were compared, variables including albumin, protein, white blood cells, neutrophils, C -reactive protein, procalcitonin, CRP/albumin, CRP/protein, neutrophil/lymphocyte, and platelet/lymphocyte ratios significantly affected mortality. Logistic regression analysis revealed that only the albumin level was statistically significant (0.010). It was found significant that the albumin value was below 2.76 g/dL (odds ratio 3.688; the area under the curve (AUC)=0.670, and P<.000). The sensitivity and specificity of an albumin cutoff value of 2.05 g/dL were 85% and 97%, respectively. Conclusion: Our study highlights the pivotal role of hypoalbuminaemia as the most significant predictor of mortality in patients on the palliative care unit (PCU) without malignancy. To optimise patient care in palliative settings and better tailor therapeutic interventions, we must recognise the vital role of hypoalbuminaemia as a critical risk factor.en_US
dc.identifier.doi10.29400/tjgeri.2024.390
dc.identifier.issn1304-2947
dc.identifier.issn1307-9948
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85197456773en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.urihttps://doi.org/10.29400/tjgeri.2024.390
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7207
dc.identifier.volume27en_US
dc.identifier.wosWOS:001257583000005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Geriatrics Socen_US
dc.relation.ispartofTurkish Journal of Geriatrics-Turk Geriatri Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPalliative Careen_US
dc.subjectMortalityen_US
dc.subjectAlbuminen_US
dc.titleVARIABLES AFFECTING MORTALITY IN PATIENTS IN PALLIATIVE CARE UNITS: OR IS IT STILL JUST ALBUMIN?en_US
dc.typeArticleen_US

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