Table 3.
Performance of the NECPAL tool to identify palliative care needs in patients with HF
| Total | –NECPAL | +NECPAL | p-value | |
|---|---|---|---|---|
| (n=178) | (n=100) | (n=78) | ||
| Quality of life | ||||
| SF-12 | ||||
| Physical summary | 43.75 (31.25-75.00) | 62.50 (37.50-78.13) | 37.50 (18.75-56.25) | <0.001 |
| Mental summary | 66.87 (37.50-85.25) | 74.38 (45.63-88.13) | 53.13 (27.50-82.50) | 0.002 |
| KCCQ | ||||
| Quality of life dimension | 66.66 (41.66-91.66) | 75 (50-91.66) | 58.33 (33.33-75.00) | 0.002 |
| Pain | ||||
| SF-12 | ||||
| Body pain subscale | 100 (50-100) | 100 (75-100) | 75 (50-100) | 0.009 |
| ESAS | ||||
| Pain | 0 (0-5) | 0 (0-2) | 0 (0-6) | 0.004 |
| Other physical problems | ||||
| ESAS | ||||
| Tiredness | 3.5 (0-7) | 2 (0-5.5) | 5 (0-8) | 0.009 |
| Drowsiness | 0 (0-6) | 0 (0-5) | 2.5 (0-7) | 0.019 |
| Nausea | 0 (0-0) | 0 (0-0) | 0 (0-0) | 0.692 |
| Lack of appetite | 0 (0-5) | 0 (0-3.5) | 0 (0-5) | 0.692 |
| Shortness of breath | 0 (0-5) | 0 (0-3) | 0 (0-6) | 0.002 |
| Sleep disturbances | 3 (0-6) | 2 (0-6) | 4 (0-6) | 0.321 |
| Psychological problems | ||||
| SF-12 | ||||
| Emotional role subscale | 100 (0-100) | 100 (50-100) | 50 (0-100) | 0.003 |
| Mental health subscale | 70 (50-90) | 80 (50-95) | 65 (40-90) | 0.045 |
| ESAS | ||||
| Depressive symptoms | 0 (0-5) | 0 (0-4.5) | 3 (0-8) | 0.003 |
| Anxiety symptoms | 0 (0-5) | 0 (0-5) | 0 (0-6) | 0.092 |
| Social problems | ||||
| SF-12 | ||||
| Social function subscale | 50 (25-75) | 75 (50-75) | 50 (0-75) | <0.001 |
| KCCQ | ||||
| Social limitation dimension | 66.66 (41.66-100.00) | 87.50(58.33-100.00) | 43.75 (25.00-75.00) | <0.001 |
SF-12: 12-Item Short Form Survey; KCCQ: Kansas City Cardiomyopathy Questionnaire; ESAS: Edmonton Symptom Assessment System