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  1. Article ; Online: Causes of deaths in long-term care and hospice care facilities during the first year of COVID-19 pandemic: a snapshot of Italy during 2020.

    Zazzara, Maria Beatrice / Colloca, Giuseppe Ferdinando / Maraschini, Alice / Bellieni, Andrea / Dispenza, Sabrina / Meloni, Eleonora / Ricciotti, Maria Adelaide / Penco, Italo / Minelli, Giada / Onder, Graziano

    Aging clinical and experimental research

    2023  Volume 35, Issue 6, Page(s) 1385–1392

    Abstract: Background: Older adults living in long-term care facilities (LTCF) have been severely affected by COVID-19. Hospice care (HC) facilities and palliative care are essential in treating patients dying from COVID-19. In Italy, little is known about the ... ...

    Abstract Background: Older adults living in long-term care facilities (LTCF) have been severely affected by COVID-19. Hospice care (HC) facilities and palliative care are essential in treating patients dying from COVID-19. In Italy, little is known about the impact of COVID-19 on deaths in LTCF and the care provided in HC to COVID-19 patients.
    Aim: To assess overall and case-specific mortality in 2020 in LTC and HC facilities in comparison to the previous five years (2015-2019).
    Methods: We performed a descriptive study using data derived from the Italian national "Cause of Death" registry-managed by the Italian National Institute of Statistics-on deaths occurred in LTC and HC facilities during 2020 and the period 2015-2019.
    Results: Number of deaths significantly increased in 2020 compared with 2015-2019 in LTCF (83,062 deaths vs. 59,200) and slightly decreased in hospices (38,788 vs. 39,652). COVID-19 caused 12.5% of deaths in LTCF and only 2% in hospices. Other than COVID-19, in 2020, cancer accounted for 77% of all deaths that occurred in HC, while cardiovascular diseases (35.6%) and psychotic and behavioral disorders (10%) were the most common causes of death in LTCF. Overall, 22% of the excess mortality registered in Italy during 2020 is represented by the deaths that occurred in LTCF.
    Discussion and conclusion: LTCF were disproportionally affected by COVID-19, while the response to the pandemic in HC was limited. These data can help plan strategies to limit the impact of future epidemics and to better understand residential care response to COVID-19 epidemic.
    MeSH term(s) Humans ; Aged ; COVID-19 ; Hospices ; Long-Term Care ; Hospice Care ; Pandemics ; Italy/epidemiology
    Language English
    Publishing date 2023-05-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2104785-6
    ISSN 1720-8319 ; 1594-0667
    ISSN (online) 1720-8319
    ISSN 1594-0667
    DOI 10.1007/s40520-023-02426-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Neurosurgical Defeats: Critically Ill Patients and the Role of Palliative Care Service.

    D'Alessandris, Quintino Giorgio / Ricciotti, Maria Adelaide / Palombi, Davide / Agostini, Ludovico / Mattogno, Pier Paolo / Della Pepa, Giuseppe Maria / Albanese, Alessio / Chiesa, Silvia / Dispenza, Sabrina / Meloni, Eleonora / Tummolo, Anita Maria / Pallini, Roberto / Barillaro, Christian / Olivi, Alessandro / Lauretti, Liverana

    Journal of personalized medicine

    2022  Volume 12, Issue 10

    Abstract: The onco-functional balance in neuro-oncology requires maximizing tumor removal while rigorously preserving patients' neurological status. When postoperative worsening prevents the implementation of oncologic treatments, palliative care service offers an ...

    Abstract The onco-functional balance in neuro-oncology requires maximizing tumor removal while rigorously preserving patients' neurological status. When postoperative worsening prevents the implementation of oncologic treatments, palliative care service offers an individualized path for symptom and psychosocial distress relief. Here, we report on a series of 25 patients operated on for malignant brain tumor who did not undergo adjuvant treatments after neurosurgery; they represented 3.9% of the whole institutional surgical series. These patients were significantly older and had a lower preoperative Karnofsky performance status than the whole cohort. Importantly, in 22 out of 25 (88%) cases, a surgical complication occurred, leading to clinical worsening in 21 patients. For the end of life, the majority of patients chose a hospice care facility (72%). While a careful selection of brain tumor patients candidate to neurosurgery is required, palliative care service provided invaluable help in coping with patients' and caregivers' needs.
    Language English
    Publishing date 2022-09-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm12101565
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The importance of measuring customer satisfaction in palliative care.

    Turriziani, Adriana / Attanasio, Gennaro / Scarcella, Francesco / Sangalli, Luisa / Scopa, Anna / Genualdo, Alessandra / Quici, Stefano / Nazzicone, Giulia / Ricciotti, Maria Adelaide / La Commare, Francesco

    Future oncology (London, England)

    2016  Volume 12, Issue 6, Page(s) 807–813

    Abstract: In the last decades, palliative care has been more and more focused on the evaluation of patients' and families' satisfaction with care. However, the evaluation of customer satisfaction in palliative care presents a number of issues such as the presence ... ...

    Abstract In the last decades, palliative care has been more and more focused on the evaluation of patients' and families' satisfaction with care. However, the evaluation of customer satisfaction in palliative care presents a number of issues such as the presence of both patients and their families, the frail condition of the patients and the complexity of their needs, and the lack of standard quality indicators and appropriate measurement tools. In this manuscript, we critically review existing evidence and literature on the evaluation of satisfaction in the palliative care context. Moreover, we provide - as a practical example - the preliminary results of our experience in this setting with the development of a dedicated tool for the measurement of satisfaction.
    MeSH term(s) Humans ; Neoplasms/epidemiology ; Neoplasms/psychology ; Neoplasms/therapy ; Palliative Care ; Patient Satisfaction/statistics & numerical data
    Language English
    Publishing date 2016-03
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2184533-5
    ISSN 1744-8301 ; 1479-6694
    ISSN (online) 1744-8301
    ISSN 1479-6694
    DOI 10.2217/fon.15.359
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Improving the quality of life of terminally ill oncological patients: the example of palliative care at Hospice Villa Speranza.

    Turriziani, Adriana / Attanasio, Gennaro / Cogliandolo, Santina / Scarcella, Francesco / Sangalli, Luisa / De Gennaro, Eleonora / Scopa, Anna / Genualdo, Alessandra / Nazzicone, Giulia / Ricciotti, Maria Adelaide / Ricciotti, Mariadelaide / Cassano, Alessandra

    Future oncology (London, England)

    2013  Volume 9, Issue 6, Page(s) 771–776

    MeSH term(s) Hospice Care ; Humans ; Medical Oncology ; Neoplasms/mortality ; Neoplasms/physiopathology ; Neoplasms/therapy ; Palliative Care ; Quality of Life ; Terminally Ill
    Language English
    Publishing date 2013-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2184533-5
    ISSN 1744-8301 ; 1479-6694
    ISSN (online) 1744-8301
    ISSN 1479-6694
    DOI 10.2217/fon.13.59
    Database MEDical Literature Analysis and Retrieval System OnLINE

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