title: Satisfaction in the Intensive Care Unit (ICU). Patient opinion as a cornerstone.
abstract: OBJECTIVE
  To study the agreement between the level of satisfaction of patients and their families referred to the care and attention received during admission to the ICU.
  
  
  METHODS
  A prospective, 5-month observational and descriptive study was carried out.
  
  
  METHODS
  ICU of Marqués de Valdecilla University Hospital, Santander (Spain).
  
  
  METHODS
  Adult patients with an ICU stay longer than 24h, who were discharged to the ward during the period of the study, and their relatives.
  
  
  METHODS
  Instrument: FS-ICU 34 for assessing family satisfaction, and an adaptation of the FS-ICU 34 for patients. The Cohen kappa index was calculated to assess agreement between answers.
  
  
  RESULTS
  An analysis was made of the questionnaires from one same family unit, obtaining 148 pairs of surveys (296 questionnaires). The kappa index ranged between 0.278-0.558, which is indicative of mild to moderate agreement.
  
  
  CONCLUSIONS
  The families of patients admitted to the ICU cannot be regarded as good proxies, at least for competent patients. In such cases, we must refer to these patients in order to obtain first hand information on their feelings, perceptions and experiences during admission to the ICU. Only when patients are unable to actively participate in the care process should their relatives be consulted.
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España. Electronic address: sholanda@humv.es.
authors: M S
authors: MS
authors: Holanda Peña
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: N Marina
authors: NM
authors: Talledo
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: E
authors: E
authors: Ots Ruiz
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: J M
authors: JM
authors: Lanza Gómez
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: A
authors: A
authors: Ruiz Ruiz
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: A
authors: A
authors: García Miguelez
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: V
authors: V
authors: Gómez Marcos
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España.
authors: M J
authors: MJ
authors: Domínguez Artiga
authors: Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España; Medicina Preventiva y Salud Pública, Universidad de Cantabria, Santander, España.
authors: M Á
authors: MÁ
authors: Hernández Hernández
authors: Medicina Preventiva y Salud Pública, Universidad de Cantabria, Santander, España.
authors: R
authors: R
authors: Wallmann
authors: Medicina Preventiva y Salud Pública, Universidad de Cantabria, Santander, España.
authors: J
authors: J
authors: Llorca Díaz
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D008297:Male; D016743:Mental Competency; D008875:Middle Aged; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D058996:Quality Improvement; D013030:Spain; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers
keywords: Agreement; Concordancia; Encuestas; Familiares; Family; Pacientes; Patients; Satisfacción; Satisfaction; Surveys