Tests to uncover and assess breathlessness: a proposed framework.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2022-12-01 Epub Date: 2022-09-21 DOI:10.1097/SPC.0000000000000617
Magnus Ekström
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引用次数: 2

Abstract

Purpose of review: Breathlessness is a common, distressing, and limiting symptom that many people avoid by reducing their activity. This review discusses exertional tests that can be used for uncovering and assessing breathlessness depending on the person's severity of illness, function, the setting, and aim of the assessment.

Recent findings: Standardized exertional tests are useful to uncover 'hidden' breathlessness earlier in people who may have adapted their physical activity to limit their breathing discomfort. In 'more fit' ambulatory people and outpatients, cardiopulmonary exercise testing is the gold standard for assessing symptom severity, underlying conditions, and mechanisms and treatment effects. Among field tests, the 6-min walk test is not useful for assessing breathlessness. Instead, the 3-min step test and walk test are validated for measuring breathlessness change in chronic obstructive pulmonary disease. In people with more severe illness (who are most often not breathless at rest), reported tests include upper limb exercise or counting numbers aloud, but a valid and useful test for this population is lacking.

Summary: A framework for selecting the most appropriate test to assess breathlessness validly is proposed, and research needs are identified.

Abstract Image

Abstract Image

揭示和评估呼吸困难的测试:一个拟议的框架。
综述目的:呼吸困难是一种常见的、令人痛苦的、限制性的症状,许多人通过减少活动来避免这种症状。这篇综述讨论了可用于揭示和评估呼吸困难的运动测试,这取决于患者的疾病严重程度、功能、评估环境和目的。最近的发现:标准化的运动测试有助于早期发现那些可能通过调整身体活动来限制呼吸不适的人的“隐性”呼吸困难。在“更健康”的门诊患者和门诊患者中,心肺运动测试是评估症状严重程度、潜在条件、机制和治疗效果的黄金标准。在实地测试中,6分钟步行测试对评估呼吸困难没有用处。相反,3分钟步进测试和步行测试被验证用于测量慢性阻塞性肺病患者的呼吸困难变化。在患有更严重疾病的人(他们在休息时通常不会呼吸困难)中,报告的测试包括上肢锻炼或大声数数,但缺乏对这一人群有效和有用的测试。摘要:提出了一个选择最合适的测试来有效评估呼吸困难的框架,并确定了研究需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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