Prevalence of distressing symptoms in hospitalised patients on medical wards: A cross-sectional study

Sigurdardottir, Katrin Ruth; Haugen, Dagny Faksvåg

doi:10.1186/1472-684x-7-16

Cited by 38 publications

(32 citation statements)

References 17 publications

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“…The causes most frequently assumed to be responsible in palliative care patients were ill-fitting dentures for mouth pain, medications, and possible oral fungal infections for mouth dryness [14]. In palliative care patients hospitalized on a medical ward, figures similar to present data were reported [15]. In patients attending a palliative care outpatient clinic, the prevalence of dry mouth was even higher to that reported in this survey [16].…”

Section: Dry Mouthsupporting

confidence: 83%

Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients

Mercadante

Aielli

Adile

et al. 2015

Support Care Cancer

124

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In advanced cancer patients, a range of oral problems significantly may impact on the physical, social, and psychological well-being of advanced cancer patients to varying degrees. These symptoms should be carefully assessed early but become imperative in the palliative care setting when they produce relevant consequences that may be life-threatening other than limiting the daily activities, particularly eating and drinking.

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Section: Dry Mouthsupporting

confidence: 83%

Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients

Mercadante

Aielli

Adile

et al. 2015

Support Care Cancer

124

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“…Comparing our results to studies that specifically report ESAS scores from a palliative care unit or clinic, 26,27,[31][32][33][34][35][36][37][38] the symptom prevalence and symptom scores from these palliative patients are consistently higher than in our study. For example, in a study of 1296 patients attending a palliative radiation oncology outpatient clinic, 26 the median symptom score was 5 for fatigue, 2 for dyspnea, 3 for pain, and 2 for depression compared with our results of 3, 0, 1, and 0, respectively.…”

Section: Sarcomacontrasting

confidence: 48%

Symptom burden and performance status in a population‐based cohort of ambulatory cancer patients

Barbera

Seow

Howell

et al. 2010

Cancer

196

128

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BACKGROUND. For ambulatory cancer patients, Ontario has standardized symptom and performance status assessment population-wide, using the Edmonton Symptom Assessment System (ESAS) and Palliative Performance Scale (PPS). In a broad cross-section of cancer outpatients, the authors describe the ESAS and PPS scores and their relation to patient characteristics. METHODS. This is a descriptive study using administrative healthcare data. RESULTS. The cohort included 45,118 and 23,802 patients' first ESAS and PPS, respectively. Fatigue was most prevalent (75%), and nausea least prevalent (25%) in the cohort. More than half of patients reported pain or shortness of breath; about half of those reported moderate to severe scores. Seventy-eight percent had stable performance status scores. On multivariate analysis, worse ESAS outcomes were consistently seen for women, those with comorbidity, and those with shorter survivals from assessment. Lung cancer patients had the worst burden of symptoms. CONCLUSIONS. This is the first study to report ESAS and PPS scores in a large, geographically based cohort with a full scope of cancer diagnoses, including patients seen earlier in the cancer trajectory (ie, treated for cure). In this ambulatory cancer population, the high prevalence of numerous symptoms parallels those reported in palliative populations and represents a target for improved clinical care. Differences in outcomes for subgroups require further investigation. This research sets the groundwork for future research on patient and provider outcomes using linked administrative healthcare data. Cancer 2010;116:5767-76.

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“…[3][4][5][6] The majority of patients with chronic diseases in advanced stages, whether oncologic or non-oncologic, present multiple physical and psychological symptoms that produce a significant decrease in their quality of life. 7 Physicians often underestimate the symptoms reported by the patient and, therefore, do not offer proper treatment. [3][4][5][6][7][8][9] Studies show that patients who die in hospitals have poorly controlled symptoms and often suffer from pain, dyspnea and restlessness.…”

Section: Introductionmentioning

confidence: 99%

“…7 Physicians often underestimate the symptoms reported by the patient and, therefore, do not offer proper treatment. [3][4][5][6][7][8][9] Studies show that patients who die in hospitals have poorly controlled symptoms and often suffer from pain, dyspnea and restlessness. [9][10][11][12] Based on the perspective that patients with chronic degenerative diseases have a major reduction in quality of life, knowledge of palliative care is essential.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the symptoms and treatment prescribed to hospitalized patients

Roldi

Moritz

2016

Rev. Assoc. Med. Bras.

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Objective: Evaluation of the presence of symptoms and suitability in the treatment of patients admitted to medical wards at HU-UFSC. Identification of patients eligible for palliative care (PC). Method: A prospective cohort study, which evaluated patients in the first 48 hours of hospitalization (D1) and after 48 hours (D2). On D1, palliative performance and symptom assessment scales were applied (PPS/ESAS). The treatment established for the control of detected symptoms was also identified. On D2, the ESAS scale was applied again, and the medical prescription reviewed. When the presence of severe symptoms was found, the attending physician was informed. Patients who presented PPS≤60 were eligible for PC prioritization. For statistical analysis Student's t and χ² tests were used. Results: 168 patients were studied. Of these, 26.8% had PPS≤60. PC was described in one medical chart. Patients with mild symptoms reported significant worsening in the second evaluation, especially worsening in pain (32.3%) and well-being (49.3%). Symptoms considered severe showed significant improvement. There was no control of pain reported as moderate. Prescriptions for pain control were predominantly "if necessary", prevailing the use of non-opioid analgesics and weak opioids. The attending physician was informed of 116 (69%) patients with ESAS score≥4. Conclusion:The control of symptoms, especially those considered mild, was unsatisfactory. Drug prescription was inadequate to control pain, and non-existent for some reported symptoms. There was no adequate prioritization of PC. There is a need for optimization and dissemination of PC among health professionals.

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Prevalence of distressing symptoms in hospitalised patients on medical wards: A cross-sectional study

Cited by 38 publications

References 17 publications

Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients

Prevalence of oral mucositis, dry mouth, and dysphagia in advanced cancer patients

Symptom burden and performance status in a population‐based cohort of ambulatory cancer patients

Evaluation of the symptoms and treatment prescribed to hospitalized patients

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