prikaz prve stranice dokumenta Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients
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Scientific paper - Original scientific paper
Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients
American Journal of Hospice and Palliative Medicine, 35 (2018), 11; 1377-1383. https://doi.org/10.1177/1049909118772566
Golčić, Marin; Dobrila-Dintinjana, Renata; Golčić, Goran; Gović-Golčić, Lidija; Čubranić, Aleksandar

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Golčić, M., Dobrila Dintinjana, R., Golčić, G., Gović Golčić, L. & Čubranić, A. (2018). Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients. American Journal of Hospice and Palliative Medicine, 35. (11), 1377-1383. doi: 10.1177/1049909118772566

Golčić, Marin, et al. "Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients." American Journal of Hospice and Palliative Medicine, vol. 35, no. 11, 2018, pp. 1377-1383. https://doi.org/10.1177/1049909118772566

Golčić, Marin, Renata Dobrila Dintinjana, Goran Golčić, Lidija Gović Golčić and Aleksandar Čubranić. "Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients." American Journal of Hospice and Palliative Medicine 35, no. 11 (2018): 1377-1383. https://doi.org/10.1177/1049909118772566

Golčić, M., et al. (2018) 'Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients', American Journal of Hospice and Palliative Medicine, 35(11), pp. 1377-1383. doi: 10.1177/1049909118772566

Golčić M, Dobrila Dintinjana R, Golčić G, Gović Golčić L, Čubranić A. Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients. American Journal of Hospice and Palliative Medicine [Internet]. 2018 [cited 2024 April 27];35(11):1377-1383. doi: 10.1177/1049909118772566

M. Golčić, R. Dobrila Dintinjana, G. Golčić, L. Gović Golčić and A. Čubranić, "Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients", American Journal of Hospice and Palliative Medicine, vol. 35, no. 11, pp. 1377-1383, 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:589540. [Accessed: 27 April 2024]

Metadata
Title (english)Physical Exercise: An Evaluation of a New Clinical Biomarker of Survival in Hospice Patients
AuthorMarin Golčić https://orcid.org/0000-0002-3388-4813
AuthorRenata Dobrila-Dintinjana
AuthorGoran Golčić
AuthorLidija Gović-Golčić
AuthorAleksandar Čubranić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Internal Medicine)
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Oncology and Radiotherapy)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
Purpose: Survival analysis is an important issue in palliative care. However, there is a lack of quality clinical biomarkers for assessing survival, especially in bedridden patients. Recent research supports the benefit of physiotherapy in palliative care, as majority of hospice patients are able to perform physical therapy. We propose the hypothesis that the difference in activity during physical exercise can be used as a biomarker of survival in hospice care. Methods: We examined 536 consecutive patients who performed physical exercises in our hospice from March 2013 to July 2017. Univariate, multivariate, and Kaplan-Meier analysis were performed to explore the association between the level of physical exercise activity and survival. Results: Physical exercises were performed by almost 70% of our hospice patients. The patients who initially performed active exercises lived longer, on average, compared to patients who only managed passive exercises (15 days vs 6 days, hazard ratio 0.60, 0.49-0.74). Surprisingly, the difference in survival based on the level of physical activity remained consistent regardless of the patient performance score, emphasizing its usefulness as an independent survival biomarker in a hospice setting. This tool also gave us an option to recognize a significant proportion of bedridden patients performing active exercises (30%), previously unrecognized using standard performance scales, exhibiting longer survival compared to others with the same performance score. Conclusion: Patients' level of activity during physical exercises has the potential to be a valuable new clinical biomarker in palliative care, whether used individually or combined with commonly used performance scales.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleAmerican Journal of Hospice and Palliative Medicine
Numberingvol. 35, no. 11, pp. 1377-1383
p-ISSN1049-9091
e-ISSN1938-2715
DOIhttps://doi.org/10.1177/1049909118772566
URN:NBNurn:nbn:hr:184:589540
Publication2018
Document URLhttp://bib.irb.hr/998000
Type of resourceText
Access conditionsClosed access
Terms of useLicence In copyright icon
Created on2022-03-02 14:49:39