Related Experiment Video
Updated: Jul 11, 2025
06:11
Employing the Forced Oscillation Technique for the Assessment of Respiratory Mechanics in Adults
Published on: February 9, 2022
5.6K
Quality-of-Life Bronchiectasis Respiratory Symptom Scale Predicts the Risk of Exacerbations in Adults with
Yong-Hua Gao1,2, Hui-Zhen Zheng1,2, Hai-Wen Lu1,2
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, and.
Annals of the American Thoracic Society
|November 14, 2023
Summary
Baseline symptom severity, measured by the Quality-of-Life Bronchiectasis Respiratory Symptom Scale (QoL-B-RSS), predicts future exacerbations in bronchiectasis patients. Assessing symptoms alongside history aids in early intervention for exacerbation prevention.
Area of Science:
- Pulmonary Medicine
- Respiratory Disease Research
Background:
- Bronchiectasis exacerbations pose a significant clinical challenge.
- The predictive value of baseline symptom severity for longitudinal exacerbation risk in bronchiectasis remains undemonstrated.
Purpose of the Study:
- To investigate if baseline symptoms, using the Quality-of-Life Bronchiectasis Respiratory Symptom Scale (QoL-B-RSS), predict future exacerbation risk in bronchiectasis patients.
- To assess the predictive capability of individual QoL-B-RSS component scores.
Main Methods:
- A cohort of 436 adult bronchiectasis patients from three tertiary hospitals was studied.
- Baseline symptoms were measured using the QoL-B-RSS (0-100 scale, lower scores indicate greater severity).
- Association between continuous QoL-B-RSS scores and 12-month exacerbation risk, hospitalizations, and time to first exacerbation was analyzed, adjusting for confounders.
Main Results:
- Lower baseline QoL-B-RSS scores (indicating more severe symptoms) were significantly associated with increased exacerbation risk (RR 1.25 per 10-point decrease) and hospitalizations (RR 1.24).
- Symptom severity predicted a reduced time to the first exacerbation (HR 1.12) and was comparable to exacerbation history in predicting frequent exacerbations and hospitalizations.
- More severe symptoms in individual QoL-B-RSS components correlated with higher exacerbation likelihood.
Conclusions:
- Baseline symptom assessment using QoL-B-RSS is a valuable tool for identifying bronchiectasis patients at high risk of future exacerbations.
- Integrating symptom assessment with exacerbation history can enhance the timely and cost-effective implementation of preventive interventions.
More Related Videos
Related Concept Videos
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:26COPD: Management Using Bronchodilators and Corticosteroids
217
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
217
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:23Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K