Trajectories of care dependency and predictors following laparoscopic radical gastrectomy for gastric cancer: a longitudinal study - Scorecard - MDSpire
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Trajectories of care dependency and predictors following laparoscopic radical gastrectomy for gastric cancer: a longitudinal study
Clinical Scorecard: Patterns of Care Dependency and Influencing Factors After Laparoscopic Radical Gastrectomy for Gastric Cancer: A Longitudinal Analysis
At a Glance
Category
Detail
Condition
Gastric Cancer (GC)
Key Mechanisms
Care dependency assessed using the Care Dependency Scale (CDS); influenced by psychological resilience, age, social support, time to ambulation, BMI, and albumin levels.
Target Population
Patients with gastric cancer undergoing laparoscopic radical gastrectomy.
Care Setting
Tertiary hospital, gastrointestinal surgery department.
Key Highlights
Four care dependency trajectory categories identified: low dependency-stable, high dependency-increased, complete dependency-increased, and persistent dependency.
62.13% of patients fell into the complete dependency-increased group.
Psychological resilience and age are significant predictors of care dependency trajectories.
Guideline-Based Recommendations
Diagnosis
Utilize the Care Dependency Scale (CDS) for assessing care dependency in postoperative patients.
Management
Implement Enhanced Recovery After Surgery (ERAS) protocols to facilitate recovery.
Monitoring & Follow-up
Regularly assess care dependency at multiple postoperative time points.
Risks
Increased care dependency may lead to prolonged recovery and reduced quality of life.
Patient & Prescribing Data
223 patients undergoing laparoscopic radical gastrectomy for gastric cancer.
Patients followed a standardized ERAS protocol including early ambulation and pulmonary rehabilitation.
Clinical Best Practices
Identify and monitor distinct care dependency trajectories in postoperative patients.
Provide targeted interventions based on individual care dependency profiles.
