Symptom profile in terminally ill AIDS patients

M. Fantoni, F. Ricci, C. Del Borgo, N. Bevilacqua, I. Izzi, F. Damiano, G. Marasca

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

A study protocol to record prospectively, frequency and intensity of symptoms in terminally ill AIDS patients was developed. Other information included mode of transmission, active intravenous drug use, regular visits of family/friends to the ward, the use of symptom-control drugs, and death without family or partner. The study population was selected from patients admitted to the wards or followed in the Clinic or Day Center of the Department of Infectious Diseases of the Catholic University, Rome. Inclusion criteria were diagnosis of AIDS prior to 12 months and advanced stage AIDS (defined with standardized criteria). To standardize the analysis of data, the terminal phase was considered to start 3 months before death (T1). From January 1, 1993 to December 12, 1993, 266 patients (208 males, 58 females) were enrolled. By June 30, 1995 168 patients had died and were considered for analysis. The most frequent symptoms at T1 were anorexia (63.1%), fatigue (60.1%), pain (60.1%), fever (47.6%), and cough (37.5%). At the end week (T6) the most frequent symptoms were fever (81.5%), fatigue (70.2%), dyspnea (68.1%), and pain (58.9%). In two-thirds of the patients, symptom-control drugs were used, most frequently nonopioid analgesics (39.9% at T1 and 56.5% at T6) and antipyretics (38.7% at T1 and 53.6% at T6). Opioid analgesics were used in 19% of patients at T1 and in 28.6% at T6. Almost one-third of the patients (29.2%) died alone without having family, their partner, or a friend near. Considering the high frequency of treatable symptoms in terminally ill AIDS patients, the use of palliative therapy should be emphasized. Flexibility and patient-directed care should be used in deciding care plans to avoid overhospitalization and promote alternative care.

Original languageEnglish
Pages (from-to)171-173
Number of pages3
JournalAIDS Patient Care and STDs
Volume10
Issue number3
Publication statusPublished - Jun 1996

Fingerprint

Terminally Ill
Acquired Immunodeficiency Syndrome
Drug and Narcotic Control
Fatigue
Fever
Non-Narcotic Analgesics
Pain
Antipyretics
Anorexia
Palliative Care
Cough
Dyspnea
Opioid Analgesics
Communicable Diseases
Patient Care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Fantoni, M., Ricci, F., Del Borgo, C., Bevilacqua, N., Izzi, I., Damiano, F., & Marasca, G. (1996). Symptom profile in terminally ill AIDS patients. AIDS Patient Care and STDs, 10(3), 171-173.

Symptom profile in terminally ill AIDS patients. / Fantoni, M.; Ricci, F.; Del Borgo, C.; Bevilacqua, N.; Izzi, I.; Damiano, F.; Marasca, G.

In: AIDS Patient Care and STDs, Vol. 10, No. 3, 06.1996, p. 171-173.

Research output: Contribution to journalArticle

Fantoni, M, Ricci, F, Del Borgo, C, Bevilacqua, N, Izzi, I, Damiano, F & Marasca, G 1996, 'Symptom profile in terminally ill AIDS patients', AIDS Patient Care and STDs, vol. 10, no. 3, pp. 171-173.
Fantoni M, Ricci F, Del Borgo C, Bevilacqua N, Izzi I, Damiano F et al. Symptom profile in terminally ill AIDS patients. AIDS Patient Care and STDs. 1996 Jun;10(3):171-173.
Fantoni, M. ; Ricci, F. ; Del Borgo, C. ; Bevilacqua, N. ; Izzi, I. ; Damiano, F. ; Marasca, G. / Symptom profile in terminally ill AIDS patients. In: AIDS Patient Care and STDs. 1996 ; Vol. 10, No. 3. pp. 171-173.
@article{c24833632c3042c4a98a98f9a02d07c1,
title = "Symptom profile in terminally ill AIDS patients",
abstract = "A study protocol to record prospectively, frequency and intensity of symptoms in terminally ill AIDS patients was developed. Other information included mode of transmission, active intravenous drug use, regular visits of family/friends to the ward, the use of symptom-control drugs, and death without family or partner. The study population was selected from patients admitted to the wards or followed in the Clinic or Day Center of the Department of Infectious Diseases of the Catholic University, Rome. Inclusion criteria were diagnosis of AIDS prior to 12 months and advanced stage AIDS (defined with standardized criteria). To standardize the analysis of data, the terminal phase was considered to start 3 months before death (T1). From January 1, 1993 to December 12, 1993, 266 patients (208 males, 58 females) were enrolled. By June 30, 1995 168 patients had died and were considered for analysis. The most frequent symptoms at T1 were anorexia (63.1{\%}), fatigue (60.1{\%}), pain (60.1{\%}), fever (47.6{\%}), and cough (37.5{\%}). At the end week (T6) the most frequent symptoms were fever (81.5{\%}), fatigue (70.2{\%}), dyspnea (68.1{\%}), and pain (58.9{\%}). In two-thirds of the patients, symptom-control drugs were used, most frequently nonopioid analgesics (39.9{\%} at T1 and 56.5{\%} at T6) and antipyretics (38.7{\%} at T1 and 53.6{\%} at T6). Opioid analgesics were used in 19{\%} of patients at T1 and in 28.6{\%} at T6. Almost one-third of the patients (29.2{\%}) died alone without having family, their partner, or a friend near. Considering the high frequency of treatable symptoms in terminally ill AIDS patients, the use of palliative therapy should be emphasized. Flexibility and patient-directed care should be used in deciding care plans to avoid overhospitalization and promote alternative care.",
author = "M. Fantoni and F. Ricci and {Del Borgo}, C. and N. Bevilacqua and I. Izzi and F. Damiano and G. Marasca",
year = "1996",
month = "6",
language = "English",
volume = "10",
pages = "171--173",
journal = "AIDS Patient Care and STDs",
issn = "1087-2914",
publisher = "Mary Ann Liebert Inc.",
number = "3",

}

TY - JOUR

T1 - Symptom profile in terminally ill AIDS patients

AU - Fantoni, M.

AU - Ricci, F.

AU - Del Borgo, C.

AU - Bevilacqua, N.

AU - Izzi, I.

AU - Damiano, F.

AU - Marasca, G.

PY - 1996/6

Y1 - 1996/6

N2 - A study protocol to record prospectively, frequency and intensity of symptoms in terminally ill AIDS patients was developed. Other information included mode of transmission, active intravenous drug use, regular visits of family/friends to the ward, the use of symptom-control drugs, and death without family or partner. The study population was selected from patients admitted to the wards or followed in the Clinic or Day Center of the Department of Infectious Diseases of the Catholic University, Rome. Inclusion criteria were diagnosis of AIDS prior to 12 months and advanced stage AIDS (defined with standardized criteria). To standardize the analysis of data, the terminal phase was considered to start 3 months before death (T1). From January 1, 1993 to December 12, 1993, 266 patients (208 males, 58 females) were enrolled. By June 30, 1995 168 patients had died and were considered for analysis. The most frequent symptoms at T1 were anorexia (63.1%), fatigue (60.1%), pain (60.1%), fever (47.6%), and cough (37.5%). At the end week (T6) the most frequent symptoms were fever (81.5%), fatigue (70.2%), dyspnea (68.1%), and pain (58.9%). In two-thirds of the patients, symptom-control drugs were used, most frequently nonopioid analgesics (39.9% at T1 and 56.5% at T6) and antipyretics (38.7% at T1 and 53.6% at T6). Opioid analgesics were used in 19% of patients at T1 and in 28.6% at T6. Almost one-third of the patients (29.2%) died alone without having family, their partner, or a friend near. Considering the high frequency of treatable symptoms in terminally ill AIDS patients, the use of palliative therapy should be emphasized. Flexibility and patient-directed care should be used in deciding care plans to avoid overhospitalization and promote alternative care.

AB - A study protocol to record prospectively, frequency and intensity of symptoms in terminally ill AIDS patients was developed. Other information included mode of transmission, active intravenous drug use, regular visits of family/friends to the ward, the use of symptom-control drugs, and death without family or partner. The study population was selected from patients admitted to the wards or followed in the Clinic or Day Center of the Department of Infectious Diseases of the Catholic University, Rome. Inclusion criteria were diagnosis of AIDS prior to 12 months and advanced stage AIDS (defined with standardized criteria). To standardize the analysis of data, the terminal phase was considered to start 3 months before death (T1). From January 1, 1993 to December 12, 1993, 266 patients (208 males, 58 females) were enrolled. By June 30, 1995 168 patients had died and were considered for analysis. The most frequent symptoms at T1 were anorexia (63.1%), fatigue (60.1%), pain (60.1%), fever (47.6%), and cough (37.5%). At the end week (T6) the most frequent symptoms were fever (81.5%), fatigue (70.2%), dyspnea (68.1%), and pain (58.9%). In two-thirds of the patients, symptom-control drugs were used, most frequently nonopioid analgesics (39.9% at T1 and 56.5% at T6) and antipyretics (38.7% at T1 and 53.6% at T6). Opioid analgesics were used in 19% of patients at T1 and in 28.6% at T6. Almost one-third of the patients (29.2%) died alone without having family, their partner, or a friend near. Considering the high frequency of treatable symptoms in terminally ill AIDS patients, the use of palliative therapy should be emphasized. Flexibility and patient-directed care should be used in deciding care plans to avoid overhospitalization and promote alternative care.

UR - http://www.scopus.com/inward/record.url?scp=0030038043&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030038043&partnerID=8YFLogxK

M3 - Article

VL - 10

SP - 171

EP - 173

JO - AIDS Patient Care and STDs

JF - AIDS Patient Care and STDs

SN - 1087-2914

IS - 3

ER -