Assessing Symptom Burden and Depression in Subjects With Chronic Respiratory Insufficiency
| Autor: | Heidi A Rantala, Sirpa Leivo-Korpela, Lauri Lehtimäki, Juho T. Lehto |
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| Přispěvatelé: | Tampere University, Department of Respiratory medicine, Dermatology and Allergology, Clinical Medicine, Department of Oncology |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Palliative care 3121 Internal medicine Xerostomia Interquartile range Neoplasms hemic and lymphatic diseases Internal medicine medicine Humans Respiratory system Depression (differential diagnoses) Retrospective Studies Chronic respiratory insufficiency Receiver operating characteristic Depression business.industry Palliative Care Retrospective cohort study General Medicine 3126 Surgery anesthesiology intensive care radiology Dyspnea Symptom Assessment Respiratory Insufficiency business Psychosocial |
| Zdroj: | Journal of Palliative Care. 37:134-141 |
| ISSN: | 2369-5293 0825-8597 |
| DOI: | 10.1177/08258597211049592 |
| Popis: | Objectives: Patients with chronic respiratory insufficiency suffer from advanced disease, but their overall symptom burden is poorly described. We evaluated the symptoms and screening of depression in subjects with chronic respiratory insufficiency by using the Edmonton symptom assessment system (ESAS). Methods: In this retrospective study, 226 subjects with chronic respiratory insufficiency answered the ESAS questionnaire measuring symptoms on a scale from 0 (no symptoms) to 10 (worst possible symptom), and the depression scale (DEPS) questionnaire, in which the cut-off point for depressive symptoms is 9. Results: The most severe symptoms measured with ESAS (median [interquartile range]) were shortness of breath 4.0 (1.0-7.0), dry mouth 3.0 (1.0-7.0), tiredness 3.0 (1.0-6.0), and pain on movement 3.0 (0.0-6.0). Subjects with a chronic obstructive pulmonary disease as a cause for chronic respiratory insufficiency had significantly higher scores for shortness of breath, dry mouth, and loss of appetite compared to others. Subjects with DEPS ≥9 reported significantly higher symptom scores in all ESAS categories than subjects with DEPS |
| Databáze: | OpenAIRE |
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