Symptoms in hospitalized patients

Outcome and satisfaction with care

Kurt Kroenke, Timothy Stump, Daniel Clark, Christopher Callahan, Clement J. McDonald

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

PURPOSE: Physical symptoms are responsible for substantial morbidity in outpatients. We assessed symptoms in patients admitted to a hospital to determine their frequency, persistence at discharge, and the relation between symptom outcome and satisfaction with care. METHODS: During a 12-month period, 2,126 hospitalized medical patients completed a study interview within 2 hours of admission. More than half (n = 1,168) of the patients were re-interviewed within 24 hours of discharge. We ascertained the presence and severity of 11 physical symptoms, as well as activities of daily living, mobility, mood, self-rated health, physiologic severity of illness, satisfaction with care, and length of stay. RESULTS: Symptoms were common at the time of hospital admission, particularly fatigue (80% of patients), dyspnea (60%), cough (51%), dizziness (51%), headache (47%), chest pain (46%), and nausea or vomiting (43%). Individual symptoms failed to resolve by hospital discharge approximately 25% to 50% of the time. The three most prominent predictors of persistence of symptoms were shorter length of stay, severity of the symptom on admission, and total symptom count. Patient satisfaction with care was associated with total symptom severity score at discharge and the degree of symptomatic improvement that had occurred during hospitalization. CONCLUSION: Because symptoms are common at discharge and associated with decreased satisfaction with care, asking about them would be a reasonable way to enhance patient-oriented care.

Original languageEnglish
Pages (from-to)425-431
Number of pages7
JournalThe American Journal of Medicine
Volume107
Issue number5
DOIs
StatePublished - 1999

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Patient Satisfaction
Length of Stay
Dizziness
Activities of Daily Living
Chest Pain
Cough
Dyspnea
Nausea
Vomiting
Fatigue
Headache
Patient Care
Hospitalization
Outpatients
Interviews
Morbidity
Health

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Symptoms in hospitalized patients : Outcome and satisfaction with care. / Kroenke, Kurt; Stump, Timothy; Clark, Daniel; Callahan, Christopher; McDonald, Clement J.

In: The American Journal of Medicine, Vol. 107, No. 5, 1999, p. 425-431.

Research output: Contribution to journalArticle

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