Artificial (Or Parenteral) Nutrition or Fluid in the Last 24 Hours of Life
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The withholding of artificial (or parenteral) nutrition/fluid in the last 24 h is perceived as good clinical practice and as a relevant quality indicator for care of the dying in Sweden.
The end of life questionnaire item to measure this indictor is: Did the person receive parenteral fluids/nutrition during the last 24 hours of life? Yes No Don't know.
Numerator
If calculating a negative outcome (i.e., having artificial or parenteral nutrition/fluid in the last 24 h nutrition/fluid in the last 24 h of life) the numerator would be calculated as the proportion of receiving artificial nutrition/fluid in the last 24 h of life). The inverse would be used if calculating a positive outcome (i.e., not having artificial or parenteral nutrition/fluid in the last 24 h nutrition/fluid in the last 24 h of life).
Denominator
If calculating a negative outcome (i.e., having artificial or artificial or parenteral nutrition/fluid in the last 24 h of life) the denominator would be calculated as the proportion who did not receive artificial or parenteral nutrition/fluid in the last 24 h of life. The inverse would be used if calculating a positive outcome (i.e., not having artificial or parenteral nutrition/fluid in the last 24 h of life).
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
The end-of-life questionnaire (ELQ) is the main source of register data in the Swedish Register of Palliative Care (SRPC). The ELQ is completed by healthcare staff after the death of a patient and focuses on the last week of life. Registration in the SRPC is web-based, but some units first complete a paper version of the ELQ which is later used to complete the web form. Limited other details were available in English about data collection processes for the measurement of this indicator in the Swedish Registry of Palliative Care.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Public reporting.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Multiple sources:
palliativregistret.se/media/2ptn1rx4/d%C3%B6dsfallsenk%C3%A4t-220101-engelsk.pdf
Schelin ME, Sallerfors B, Rasmussen BH, Fürst CJ. Quality of care for the dying across different levels of palliative care development: A population-based cohort study. Palliat Med. 2018 Dec;32(10):1596-1604. doi: 10.1177/0269216318801251.