New Scoring System Available at Home Health Care for Prediction of 14 Days Survival in Lung Cancer Complicated with Lymphangitic Carcinomatosis
- *Corresponding Author:
- Takuya Kishi
Department of Advanced Therapeutics for Cardiovascular Diseases
Kyushu University Graduate School of Medical Sciences
3-1-1 maidashi, higashi-ku, Fukuoka 812-8582, Japan
E-mail: [email protected]
Received date: September 23, 2014; Accepted date: November 13, 2014; Published date: November 22, 2014
Citation: Konno S, Kishi T, Kashiwagi H, Makino T, Matsuguchi T (2014) New Scoring System Available at Home Health Care for Prediction of 14 Days Survival in Lung Cancer Complicated with Lymphangitic Carcinomatosis. J Palliat Care Med 4:200. doi:10.4172/2165-7386.1000200
Copyright: © 2014 Konno S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: Patients with lung cancer often greeted their terminal phase in the treatment at home, and many
cases complicated with lymphangitic carcinomatosis took a sudden turn. The aim of the present study was to
determine a scoring system available at home health care for prediction of short-term survival of lung cancer
complicated with lymphangitic carcinomatosis.
Methods: In 14 lung cancer patients with lymphangitic carcinomatosis in our medical care at home, we
determined significant close correlated and independent factors for assuming death during 14 days by logisticregression
analysis, and made out new scoring system. Moreover, we determined cut-off value on receiveroperating
Results: In our scoring system calculated as the summation points awarded for the presence of 5 parameters
(i.e., systolic blood pressure<90 mmHg, 2 point; pulse rate>100 beats/minute, 3 point; blood oxygen
saturation<90%, 3 point; oxygen dose>2 L/minute, 2 point; respiratory frequency>20 times/minute, 3 point), cut-off
value was 8 (sensitivity 90%, specificity 68%).
Conclusions: We made a new a scoring system available at home health care for prediction of 14 days survival
of lung cancer complicated with lymphangitic carcinomatosis assumed systolic blood pressure, pulse rate,
respiratory frequency, blood oxygen saturation, and oxygen dose.