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Estimation of the demand for palliative care in a hospital in southern Peru.

Title: Estimation of the demand for palliative care in a hospital in southern Peru.
Authors: Brayan Miranda-Chavez; Pablo Carrillo Barriga; Javier Flores-Cohaila; Marco Rivarola Hidalgo; Alvaro Taype-Rondan
Source: PLoS ONE, Vol 20, Iss 3, p e0320228 (2025)
Publisher Information: Public Library of Science (PLoS)
Publication Year: 2025
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: Medicine; Science
Description: Objective To estimate the need for palliative care in deceased patients at the Daniel Alcides Carrión Hospital (Tacna, Peru) during 2023. Methodology An analytical cross-sectional study was conducted with data from adult patients who died in a Peruvian hospital in 2023. Data were collected through the review of death certificates and medical records using the EsSalud Intelligent Health Service. Two methods were used to estimate the need for palliative care: the Rosenwax method (medium estimation) and the Murtagh method (medium-high estimation). Results Out of 255 deaths, 239 were analyzed. The median age was 76 years. 58.2% had two or more comorbidities, and only 3.8% had received palliative care previously. According to the Murtagh method, 82.9% of the patients required palliative care, while the Rosenwax method estimated a need of 74.1%. The most common diagnoses requiring palliative care were: neoplasms (33.5%), chronic obstructive pulmonary disease (15.1%), and renal disease (11.3%). An association was found between having two or more comorbidities and a greater need for palliative care. Conclusion It was found that between 7 and 8 out of every 10 patients needed palliative care, an estimate higher than in other regions. Additionally, having two or more comorbidities was associated with the need for these services. These findings highlight the urgent need for palliative care services in Peru, suggesting that their proper implementation is crucial for improving end-of-life care.
Document Type: article in journal/newspaper
Language: English
Relation: https://doi.org/10.1371/journal.pone.0320228; https://doaj.org/toc/1932-6203; https://doaj.org/article/75e95dac083149c8b0d87bcae013141f
DOI: 10.1371/journal.pone.0320228
Availability: https://doi.org/10.1371/journal.pone.0320228; https://doaj.org/article/75e95dac083149c8b0d87bcae013141f
Accession Number: edsbas.55F3C411
Database: BASE