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Cited by 461

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Self-reported symptom experience of critically ill cancer patients receiving intensive care

Nelson, Judith E., Meier, Diane E., Oei, Erwin J., Nierman, David M., Senzel, Richard S., Manfredi, Paolo L., Davis, Susan M., Morrison, R. Sean·2001·Critical Care Medicine

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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Metadata

Authors
Nelson, J. E., Meier, D. E., Oei, E. J., Nierman, D. M., Senzel, R. S., Manfredi, P. L., Davis, S. M., & Morrison, R. S.
Venue
Critical Care Medicine
Published
2001-02
Volume
29
Issue
2
Pages
277-282
ISSN
0090-3493 (ISSN-L)
OpenAlex
W2005752334
Cited by
461
References
16
FWCI
17.34
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Self-reported symptom experience of critically ill cancer patients receiving intensive care. https://app.cochat.ai/papers/10.1097/00003246-200102000-00010
The paper
Nelson, J. E., Meier, D. E., Oei, E. J., Nierman, D. M., Senzel, R. S., Manfredi, P. L., Davis, S. M., & Morrison, R. S. (2001). Self-reported symptom experience of critically ill cancer patients receiving intensive care. Critical Care Medicine. https://doi.org/10.1097/00003246-200102000-00010

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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