Frecuencia y pesquisa de síntomas en pacientes crónicos en fases avanzadas en un hospital clínico. ¿Existe concordancia entre pacientes y médicos?

Simple item page
dc.catalogadorgjm
dc.contributor.authorPalma Behnke, María Alejandra
dc.contributor.authorDel Río Silva, María Ignacia
dc.contributor.authorBonati, Pilar
dc.contributor.authorTupper Satt, Laura
dc.contributor.authorVillarroel del Pino, Luis A.
dc.contributor.authorOlivares Osorio, Patricia Carolina
dc.contributor.authorNervi, Flavio
dc.date.accessioned2025-03-24T15:08:14Z
dc.date.available2025-03-24T15:08:14Z
dc.date.issued2008
dc.description.abstractBackground: Physicians tend to over or underestimate symptoms reported by patients. Therefore standardized symptom scoring systems have been proposed to overcome this drawback. Aim: To estimate the prevalence and the diagnostic accuracy of physical and psychological symptoms and delirium in patients admitted to an internal medicine service at a university hospital. Material and Methods: We studied 58 patients, 45 with metastasic cancer and 13 with other advanced chronic diseases. The following scales were used: the Confusion Assessment Method for the diagnosis of delirium; the Edmonton Symptom Assessment Scale (ESAS) for pain and other physical symptoms; the Hospital Anxiety and Depression Scale to assess anxiety and depression. The ESAS was simultaneously applied to patients without delirium and their doctors to assess the level of diagnostic concordance. Results: Twenty two percent of patients had delirium. Among the 45 patients without delirium, 11 (25%) had at least eight symptoms and 39 (88.6%) had four symptoms. The prevalence of symptoms was very high, ranging from 22 to 78%. Pain, restlesness, anorexia and sleep disorders were the most common. The concordance between symptoms reported by patients and those recorded by doctor was very low, with a Kappa index between 0.001 and 0.334. Conclusions: In our sample of chronic patients, there is a very high frequency of psychological and physical symptoms that are insufficiently recorded by the medical team.
dc.fechaingreso.objetodigital2025-03-24
dc.format.extent9 páginas
dc.fuente.origenScopus
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedid18769802
dc.identifier.scopusidSCOPUS_ID:48849112018
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872008000500003
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102951
dc.information.autorucEscuela de Medicina; Palma Behnke, María Alejandra; S/I; 3027
dc.information.autorucEscuela de Psicología; Del Río Silva, María Ignacia; S/I; 11066
dc.information.autorucEscuela de Enfermería; Bonati, Pilar; S/I; 67329
dc.information.autorucEscuela de Medicina; Tupper Satt, Laura; S/I; 17515
dc.information.autorucEscuela de Medicina; Villarroel del Pino, Luis A.; 0000-0001-9603-937X; 77182
dc.information.autorucEscuela de Medicina; Olivares Osorio, Patricia Carolina; 0000-0001-5346-5141; 11560
dc.information.autorucEscuela de Medicina; Nervi, Flavio; 0000-0002-6642-7985; 99156
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final569
dc.pagina.inicio561
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 Atribución/Reconocimiento 4.0 Internacional
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAnxiety
dc.subjectChronic disease
dc.subjectDelirium
dc.subjectDepression
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleFrecuencia y pesquisa de síntomas en pacientes crónicos en fases avanzadas en un hospital clínico. ¿Existe concordancia entre pacientes y médicos?
dc.title.alternativeFrequency and assessment of symptoms in hospitalized patient with advanced chronic diseases. Is there concordance among patients and doctors?
dc.typeartículo
dc.volumen136
sipa.codpersvinculados3027
sipa.codpersvinculados11066
sipa.codpersvinculados67329
sipa.codpersvinculados17515
sipa.codpersvinculados77182
sipa.codpersvinculados11560
sipa.codpersvinculados99156
sipa.trazabilidadScopus;12-10-2021
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
art03 (1).pdf
Size:
74.25 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Artículos de revistas