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Self-reported symptom experience of critically ill cancer patients receiving intensive care.
Nelson, J E; Meier, D E; Oei, E J; Nierman, D M; Senzel, R S; Manfredi, P L; Davis, S M; Morrison, R S.
Afiliación
  • Nelson JE; Division of Pulmonary and Critical Care Medicine, Department of Medicine, Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY 10029, USA.
Crit Care Med ; 29(2): 277-82, 2001 Feb.
Article en En | MEDLINE | ID: mdl-11246306
ABSTRACT

OBJECTIVE:

To characterize the symptom experience of a cohort of intensive care unit (ICU) patients at high risk for hospital death.

DESIGN:

Prospective analysis of patients with a present or past diagnosis of cancer who were consecutively admitted to a medical ICU during an 8-month period.

SETTING:

Academic, university-affiliated, tertiary-care, urban medical center. PATIENTS One hundred cancer patients treated in a medical ICU. INTERVENTION Assessment of symptoms. MEASUREMENTS Patients' self-reports of symptoms using the Edmonton Symptom Assessment Scale (ESAS), and ratings of pain or discomfort associated with ICU diagnostic/therapeutic procedures and of stress associated with conditions in the ICU. MAIN

RESULTS:

Hospital mortality for the group was 56%. Fifty patients had the capacity to respond to the ESAS, among whom 100% provided symptom reports. Between 55% and 75% of ESAS responders reported experiencing pain, discomfort, anxiety, sleep disturbance, or unsatisfied hunger or thirst that they rated as moderate or severe, whereas depression and dyspnea at these levels were reported by approximately 40% and 33% of responders, respectively. Significant pain, discomfort, or both were associated with common ICU procedures, but most procedure-related symptoms were controlled adequately for a majority of patients. Inability to communicate, sleep disruption, and limitations on visiting were particularly stressful among ICU conditions studied.

CONCLUSIONS:

Among critically ill cancer patients, multiple distressing symptoms were common in the ICU, often at significant levels of severity. Symptom assessment may suggest more effective strategies for symptom control and may direct decisions about appropriate use of ICU therapies.
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Base de datos: MEDLINE Asunto principal: Ansiedad / Dolor / Privación de Sueño / Actitud Frente a la Salud / Enfermedad Crítica / Cuidados Críticos / Depresión / Disnea / Neoplasias Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Crit Care Med Año: 2001 Tipo del documento: Article País de afiliación: Estados Unidos
Buscar en Google
Base de datos: MEDLINE Asunto principal: Ansiedad / Dolor / Privación de Sueño / Actitud Frente a la Salud / Enfermedad Crítica / Cuidados Críticos / Depresión / Disnea / Neoplasias Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Crit Care Med Año: 2001 Tipo del documento: Article País de afiliación: Estados Unidos