Le déshabillage du délirium palliatif, un signe clinique de mauvais pronostic à court terme en pathologie cancéreuse

Palliative délirium is a negative prognostic factor, particularly studied in oncology. Our study, in a palliative care unit, during a year, show that 1/3 of the 72 deceased patients undress or push away their sheet, in context of palliative délirium, some hours or days before death. The average length before death is 4.3 days and median duration is 3 days. The positive predictive value of this symptom is 88%. This clinical sign of end-of-life needs to be provided in order to improve comfort of patients in cancer and palliative care.