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Related Experiment Videos

Should we continue using questionnaires on breathlessness in epidemiologic surveys?

J Vestbo1, K M Knudsen, F V Rasmussen

  • 1Medical Department P, Bispebjerg Hospital, Copenhagen, Denmark.

The American Review of Respiratory Disease
|May 1, 1988
PubMed
Summary

Breathlessness questions accurately assess respiratory symptoms and predict mortality. These questions provide valuable health insights beyond standard lung function tests like FEV1.

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Area of Science:

  • Pulmonary Medicine
  • Epidemiology
  • Respiratory Health

Background:

  • Breathlessness is a key symptom in respiratory diseases.
  • Assessing breathlessness objectively is crucial for patient management.
  • Spirometry, particularly FEV1, is a standard measure of lung function.

Purpose of the Study:

  • To evaluate the construct validity of British Medical Research Council (BMRC) breathlessness questions.
  • To compare the predictive ability of breathlessness questions versus spirometry (FEV1) for mortality.
  • To identify factors influencing breathlessness perception in men.

Main Methods:

  • A cohort of 1,045 men underwent spirometry and answered 4 BMRC breathlessness questions.
  • Dyspnea levels were assessed using Fletcher's breathlessness score.

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  • Mortality data was collected over a 10-year follow-up period.
  • Statistical analyses controlled for FEV1, occupation, smoking, central heating, and overweight status.
  • Main Results:

    • White-collar workers reported significantly less breathlessness than blue-collar workers, independent of FEV1.
    • Age affected dyspnea perception, but smoking category did not.
    • Extreme overweight correlated with breathlessness.
    • Dyspnea Grade 3 or worse predicted overall mortality (mortality ratio 1.57) after controlling for FEV1 and other factors.

    Conclusions:

    • BMRC breathlessness questions are sensitive and objective tools for assessing respiratory symptoms.
    • Breathlessness assessment provides information additional to spirometric measurements like FEV1.
    • Breathlessness scores can serve as a valuable predictor of mortality in men.