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Associations in Perceived Health and Persistent Breathlessness: A Cross-Sectional Study

Kochovska, Slavica ; Chang, Sungwon ; Olsson, Max LU orcid ; Ekström, Magnus LU orcid and Currow, David C. (2023) In Palliative Medicine Reports 4(1). p.120-126
Abstract
Background: Persistent breathlessness is debilitating and increases in prevalence with advanced age and at end of life. This study aimed to evaluate any relationship between self-reported global impressions of change (GIC) in perceived health and breathlessness in older men.

Design: Cross-sectional study of 73-year-old Swedish men in the VAScular and Chronic Obstructive Lung disease study. A postal survey included items on perceived changes in health and breathlessness (GIC scales) and breathlessness (assessed using the modified Medical Research Council [mMRC] breathlessness scale, Dyspnea-12 and Multidimensional Dyspnea Scale) since age 65.

Results: Of 801 respondents, breathlessness (mMRC ≥2) was reported by 17.9%,... (More)
Background: Persistent breathlessness is debilitating and increases in prevalence with advanced age and at end of life. This study aimed to evaluate any relationship between self-reported global impressions of change (GIC) in perceived health and breathlessness in older men.

Design: Cross-sectional study of 73-year-old Swedish men in the VAScular and Chronic Obstructive Lung disease study. A postal survey included items on perceived changes in health and breathlessness (GIC scales) and breathlessness (assessed using the modified Medical Research Council [mMRC] breathlessness scale, Dyspnea-12 and Multidimensional Dyspnea Scale) since age 65.

Results: Of 801 respondents, breathlessness (mMRC ≥2) was reported by 17.9%, worsening breathlessness by 29.1%, and worsening perceived health by 51.3%. Worsening breathlessness was strongly correlated with worsening perceived health (Pearson's correlation coefficient of 0.68 [p 
Conclusion: The strong correlation between perceived changes in health and persistent breathlessness helps delineate a more comprehensive picture of the challenges faced by older adults living with this disabling symptom. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Palliative Medicine Reports
volume
4
issue
1
pages
120 - 126
publisher
Mary Ann Liebert, Inc.
external identifiers
  • pmid:37095863
  • scopus:85156277026
ISSN
2689-2820
DOI
10.1089/pmr.2022.0071
language
English
LU publication?
yes
id
70582bab-6237-4064-81c7-96d7976ea8f4
date added to LUP
2023-04-24 12:12:55
date last changed
2023-07-28 04:01:35
@article{70582bab-6237-4064-81c7-96d7976ea8f4,
  abstract     = {{Background: Persistent breathlessness is debilitating and increases in prevalence with advanced age and at end of life. This study aimed to evaluate any relationship between self-reported global impressions of change (GIC) in perceived health and breathlessness in older men.<br/><br/>Design: Cross-sectional study of 73-year-old Swedish men in the VAScular and Chronic Obstructive Lung disease study. A postal survey included items on perceived changes in health and breathlessness (GIC scales) and breathlessness (assessed using the modified Medical Research Council [mMRC] breathlessness scale, Dyspnea-12 and Multidimensional Dyspnea Scale) since age 65.<br/><br/>Results: Of 801 respondents, breathlessness (mMRC ≥2) was reported by 17.9%, worsening breathlessness by 29.1%, and worsening perceived health by 51.3%. Worsening breathlessness was strongly correlated with worsening perceived health (Pearson's correlation coefficient of 0.68 [p <br/>Conclusion: The strong correlation between perceived changes in health and persistent breathlessness helps delineate a more comprehensive picture of the challenges faced by older adults living with this disabling symptom.}},
  author       = {{Kochovska, Slavica and Chang, Sungwon and Olsson, Max and Ekström, Magnus and Currow, David C.}},
  issn         = {{2689-2820}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{1}},
  pages        = {{120--126}},
  publisher    = {{Mary Ann Liebert, Inc.}},
  series       = {{Palliative Medicine Reports}},
  title        = {{Associations in Perceived Health and Persistent Breathlessness: A Cross-Sectional Study}},
  url          = {{http://dx.doi.org/10.1089/pmr.2022.0071}},
  doi          = {{10.1089/pmr.2022.0071}},
  volume       = {{4}},
  year         = {{2023}},
}