An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers
Yıl: 2022 Cilt: 13 Sayı: 4 Sayfa Aralığı: 665 - 671 Metin Dili: İngilizce DOI: 10.31067/acusaglik.1160091 İndeks Tarihi: 06-10-2022
An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers
Öz: Objectives: The main objective of palliative care is to keep symptoms under control and to increase the quality of life. The purpose of this study is to define the serum albumin and vitamin 25-hydroxy D (25 [OH] D) levels in patients who receive palliative care. Material/Method: This study has been carried out in a descriptive-retrospective manner. Demographic data and laboratory results of 41 patients hospitalized in a State Hospital Palliative Care Center were analyzed. Results: A ratio of 48.8% of the participants was female, 51.2% was male and the average age was 74.21 ± 2.21 (Min: 40-Max: 96). A rate of 22% of the patients suffered from cerebrovascular disease, 19.5% from Alzheimer, 9.8% from heart failure, 7.3% from oral intake disorders. The serum albumin levels were found to be low in 80.5% of the patients, the serum calcium levels were normal in 70.7%. A lack of Vitamin D was found in 63.4% of the patients and 19.5% suffered from vitamin D deficiency, while the vitamin D level was found to be normal in only 17.1% of the patients. The average 25 (OH) D level of the patients was found to be 17.1 ± 15.54 ng / mL. Conclusion: Patients who are followed up within the scope of palliative care are at risk of malnutrition, low serum albumin levels and vitamin D deficiency. Therefore the follow-up and treatment of patients is important in this respect.
Anahtar Kelime: Palyatif Bakım Merkezinde Tedavi Gören Hastalarda Albümin Düzeyi ve D Vitamini Eksikliğinin İncelenmesi
Öz: Amaç: Palyatif bakımın temel amacı semptomların kontrol altına alınması ve yaşam kalitesinin yükseltilmesidir. Bu çalışma palyatif bakımdaki hastaların serum albümin ve 25-hidroksi D (25[OH]D) vitamini düzeyini belirlemek amacıyla tanımlayıcı olarak yapılmıştır. Materyal/Yöntem: Bu araştırma tanımlayıcı-retrospektif olarak gerçekleştirilmiştir. Bir Devlet Hastanesi Palyatif Bakım Merkezinde yatan 41 hastalanın demografik verileri ve laboratuvar sonuçları incelenmiştir. Bulgular: Katılımcıların %48.8’i kadın, %51.2’si erkektir ve yaş ortalaması 74.21±2.21(Min:40-Max:96)’dır. Hastaların %22’si serebrovasküler hastalık, %19.5’i Alzheimer, %9.8’i kalp yetmezliği, %7.3’ü oral alım bozukluğu tanısı ile takip edilmektedir. Hastaların %80.5’inde serum albümin düzeyi düşük, serum kalsiyum düzeyi %70.7’sinde normal düzeydedir. Hastaların %63.4’ünde vitamin D eksikliği ve %19.5’inde D vitamini yetersizliği tespit edilirken, sadece %17.1 hastada D vitamini seviyesi normal olarak bulunmuştur. Hastaların 25-hidroksi vitamin D seviye ortalamaları 17,1±15,54 ng/mL bulunmuştur. Sonuç: Palyatif bakım hizmeti alan hastalar malnütrisyon, düşük serum albümin düzeyi ve D vitamini eksikliği açısından risk altında olup, hastaların bu açıdan takip edilerek tedavisinin sağlanması yaşam kalitesinin korunması için önem teşkil etmektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Organization WHO. Why Palliative Care Is an Essential Function of Primary Health Care. World Health Organization; 2018:1-21. https://www.who.int/docs/default-source/primary-health-care-conference/palliative.pdf/. Accessed November 21, 2021.
- 2. Fletcher J, Woodham D, Dera M, et al. Home parenteral nutrition in patients receiving palliative care: a curriculum-based review. Frontline Gastroenterol 2019;10(4):421-426. doi:101136/flgastro-2018-101113.
- 3. Organization WHO. https://www.who.int/news-room/fact-sheets/detail/palliative-care /. Accessed: November 21, 2021.
- 4. Bozzetti F. Is there a place for nutrition in palliative care? Support Care Cancer 2020;28(9):4069-4075. doi:10.1007/s00520-020-05505-x.
- 5. Dalemo S, Boström KB, Hjerpe P. Plasma albumin and calcium concentrations, and long-term mortality in primary health care patients in Sweden. Scand J Prim Health Care 2020;38(4):430-438. doi:10.1080/02813432.2020.1843809.
- 6. Chang S-W, Lee H-C. Vitamin D and health-The missing vitamin in humans. Pediatr Neonatol 2019;60(3):237-244. doi:10.1016/j.pedneo.2019.04.007.
- 7. Holick MF. The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention. Rev Endocr Metab Disord 2017;18(2):153-165. doi:10.1007/s11154-017-9424-1
- 8. Alkan A, Köksoy EB. Vitamin D deficiency in cancer patients and predictors for screening (D-ONC study). Curr Probl Cancer. 2019;43(5):421-428. doi:10.1016/j.currproblcancer.2018.12.008
- 9. Lin L-Y, Smeeth L, Langan S, et al. Distribution of vitamin D status in the UK: a cross-sectional analysis of UK Biobank. BMJ Open 2021;11(1):e038503. doi:10.1136/ bmjopen-2020-038503.
- 10. De Martinis M, Allegra A, Sirufo MM, et al. Vitamin D deficiency, osteoporosis and effect on autoimmune diseases and hematopoiesis: A review. Int J Mol Sci 2021;22(16):8855. doi:10.3390/ijms22168855.
- 11. Ministry of Health, General Directorate of Health Services. Instruction on the application procedures and principles of palliative care services https://khgm.saglik.gov.tr/TR-40027/palyatif-bakim-merkezlerimizin-il-ve-hastanelerimizdeki-yatak-sayilari-ile-ilgili-bilgiler.html#. Accessed: November 20, 2021
- 12. Yakar B, Sertdemir Batbaş C, Pirinçci E. Palliative care and hospice. STED/ Journal of Continuing Medical Education 2021;30(2):0-3. doi:10.17942/sted.625696.
- 13. Amrein K, Scherkl M, Hoffmann M, et al. Vitamin D deficiency 2.0: an update on the current status worldwide. Eur J Clin Nutr 2020;74(11):1498-1513. doi:10.1038/s41430-020-0558-y.
- 14. Afshar K, Geiger K, Müller-Mundt G, et al. Generalist palliative care for non-cancer patients. Der Schmerz 2021;35(3):161-171. doi:10.1007/s00482-016-0135-4.
- 15. Vollbracht C, Gündling PW, Kraft K, et al. Blood concentrations of vitamins B1, B6, B12, C and D and folate in palliative care patients: Results of a cross-sectional study. J Int Med Res 2019;47(12):6192-6205. doi: 10.1177/0300060519875370.
- 16. Cotogni P, Stragliotto S, Ossola M, et al. The Role of Nutritional Support for Cancer Patients in Palliative Care. Nutrients 2021;13(2):306. doi:10.3390/nu13020306.
- 17. Çınar H, Yasemin K, Özyurt N, et al. Evaluation of nutritional status in palliative care patients .Clinical Medicine Family Medicine 2016;8(3):15-18.
- 18. Hektoen HH, Robsahm TE, Stenehjem JS, et al. Vitamin D and Vitamin D binding protein and risk of bladder cancer: A nested case control study in the Norwegian Janus Serum Bank Cohort. Cancer Medicine 2021;10:4107-4116. doi: 10.1002/cam4.3960.
- 19. Dev R, Del Fabbro E, Schwartz GG, et al. Preliminary report: Vitamin D deficiency in advanced cancer patients with symptoms of fatigue or anorexia. Oncologist 2011;16(11):1637-1641. doi:10.1634/theoncologist.2011-0151.
- 20. Lovell P, Bullen K. Vitamin D levels in hospice in-patients. BMJ Support Palliat Care 2021:doi: 10.1136/bmjspcare-2021-003113.
- 21. Yılmaz D, Toprak D. Evaluation of vitamin D levels in home care patients. Konuralp Med J 2021;13(3):530-535. doi:10.18521/ktd.880070.
- 22. Klasson C, Helde-Frankling M, Sandberg C, et al. Vitamin D and fatigue in palliative cancer: A cross-sectional study of sex difference in baseline data from the palliative D cohort. J Palliat Med 2021;24(3):433-437. doi:10.1089/jpm.2020.0283.
- 23. Martínez-Alonso M, Dusso A, Ariza G, et al. Vitamin D deficiency and its association with fatigue and quality of life in advanced cancer patients under palliative care: a cross-sectional study. Palliat Med 2016;30(1):89-96. doi:10.1177/0269216315601954.
- 24. Blasiak J, Chojnacki J, Pawlowska E, et al. Nutrition in cancer therapy in the elderly an epigenetic connection? Nutrients 2020;12(11):3366. doi:10.3390/nu12113366.
- 25. Mastronuzzi T, Grattagliano I. Nutrition as a health determinant in elderly patients. Curr Med Chem. 2019;26(19):3652-3661.doi: 10.2174/0929867324666170523125806.
- 26. Çevik A, Basat O, Uçak S. Evaluation of nutritional status and ıts effect on biochemical parameters in elderly people admitted to home health care services. Konuralp Medical Journal.2014;6(3):31-37
- 27. Nouvenne A, Ticinesi A, Lauretani F, et al. The prognostic value of high-sensitivity C-reactive protein and prealbumin for short-term mortality in acutely hospitalized multimorbid elderly patients: A prospective cohort study. J Nutr Health Aging. 2016;20(4):462-468.
- 28. Dilekçi E, Ademoğlu Dilekçi E, Demirkol ME, et al. Vitamin D levels in home healthcare patients. Kırıkkale University Medical Faculty 2017;20(2):101-105. doi:10.24938/kutfd.348320
- 29. Erstad BL. Serum albumin levels: who needs them? Ann Pharmacother. 2021;55(6):798-804. doi:10.1177%2F1060028020959348.
- 30. Higashikawa T, Okuro M, Ishigami K, et al. Procalcitonin and albumin as prognostic biomarkers in elderly patients with a risk of bacterial infection. J Int Med Res. 2018;46(7):2606-2614. doi:10.1177/00300060518766640.
| APA | DURMUŞ SARIKAHYA S, GÜDEN E, ÇELEBI I (2022). An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. , 665 - 671. 10.31067/acusaglik.1160091 |
| Chicago | DURMUŞ SARIKAHYA SELMA,GÜDEN EMEL,ÇELEBI ISMET An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. (2022): 665 - 671. 10.31067/acusaglik.1160091 |
| MLA | DURMUŞ SARIKAHYA SELMA,GÜDEN EMEL,ÇELEBI ISMET An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. , 2022, ss.665 - 671. 10.31067/acusaglik.1160091 |
| AMA | DURMUŞ SARIKAHYA S,GÜDEN E,ÇELEBI I An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. . 2022; 665 - 671. 10.31067/acusaglik.1160091 |
| Vancouver | DURMUŞ SARIKAHYA S,GÜDEN E,ÇELEBI I An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. . 2022; 665 - 671. 10.31067/acusaglik.1160091 |
| IEEE | DURMUŞ SARIKAHYA S,GÜDEN E,ÇELEBI I "An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers." , ss.665 - 671, 2022. 10.31067/acusaglik.1160091 |
| ISNAD | DURMUŞ SARIKAHYA, SELMA vd. "An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers". (2022), 665-671. https://doi.org/10.31067/acusaglik.1160091 |
| APA | DURMUŞ SARIKAHYA S, GÜDEN E, ÇELEBI I (2022). An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(4), 665 - 671. 10.31067/acusaglik.1160091 |
| Chicago | DURMUŞ SARIKAHYA SELMA,GÜDEN EMEL,ÇELEBI ISMET An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13, no.4 (2022): 665 - 671. 10.31067/acusaglik.1160091 |
| MLA | DURMUŞ SARIKAHYA SELMA,GÜDEN EMEL,ÇELEBI ISMET An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol.13, no.4, 2022, ss.665 - 671. 10.31067/acusaglik.1160091 |
| AMA | DURMUŞ SARIKAHYA S,GÜDEN E,ÇELEBI I An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(4): 665 - 671. 10.31067/acusaglik.1160091 |
| Vancouver | DURMUŞ SARIKAHYA S,GÜDEN E,ÇELEBI I An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(4): 665 - 671. 10.31067/acusaglik.1160091 |
| IEEE | DURMUŞ SARIKAHYA S,GÜDEN E,ÇELEBI I "An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers." Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13, ss.665 - 671, 2022. 10.31067/acusaglik.1160091 |
| ISNAD | DURMUŞ SARIKAHYA, SELMA vd. "An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers". Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13/4 (2022), 665-671. https://doi.org/10.31067/acusaglik.1160091 |
