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@article{1218662,
author = {Pang, Peter S. and Collins, Sean P. and Sauser, Kori and Andrei, AdinandChristian and Storrow, Alan B. and Hollander, Judd E. and Tavares, Miguel and Špinar, Jindřich and Macarie, Cezar and Raev, Dimitar and Nowak, Richard and Gheorghiade, Mihai and Mebazaa, Alexandre},
article_location = {Hoboken},
article_number = {6},
doi = {http://dx.doi.org/10.1111/acem.12390},
keywords = {NATIONAL REGISTRY ADHERE; CLINICAL-TRIALS; EVEREST TRIALS; URGENT-DYSPNEA; TOLVAPTAN; OUTCOMES; RELIEF; HOSPITALIZATION; ASSOCIATION; MORTALITY},
language = {eng},
issn = {1069-6563},
journal = {Academic Emergency Medicine},
title = {Assessment of Dyspnea Early in Acute Heart Failure: Patient Characteristics and Response Differences Between Likert and Visual Analog Scales},
volume = {21},
year = {2014}
}
TY - JOUR
ID - 1218662
AU - Pang, Peter S. - Collins, Sean P. - Sauser, Kori - Andrei, Adin-Christian - Storrow, Alan B. - Hollander, Judd E. - Tavares, Miguel - Špinar, Jindřich - Macarie, Cezar - Raev, Dimitar - Nowak, Richard - Gheorghiade, Mihai - Mebazaa, Alexandre
PY - 2014
TI - Assessment of Dyspnea Early in Acute Heart Failure: Patient Characteristics and Response Differences Between Likert and Visual Analog Scales
JF - Academic Emergency Medicine
VL - 21
IS - 6
SP - 659-666
EP - 659-666
PB - Wiley-Blackwell
SN - 10696563
KW - NATIONAL REGISTRY ADHERE
KW - CLINICAL-TRIALS
KW - EVEREST TRIALS
KW - URGENT-DYSPNEA
KW - TOLVAPTAN
KW - OUTCOMES
KW - RELIEF
KW - HOSPITALIZATION
KW - ASSOCIATION
KW - MORTALITY
N2 - Background: Dyspnea is the most common symptom in acute heart failure (AHF), yet how to best measure it has not been well defined. Prior studies demonstrate differences in dyspnea improvement across various measurement scales, yet these studies typically enroll patients well after the emergency department (ED) phase of management. Objectives: The aim of this study was to determine predictors of early dyspnea improvement for three different, commonly used dyspnea scales (i.e., five-point absolute Likert scale, 10-cm visual analog scale [VAS], or seven-point relative Likert scale). Methods: This was a post hoc analysis of URGENT Dyspnea, an observational study of 776 patients in 17 countries enrolled within 1 hour of first physician encounter. Inclusion criteria were broad to reflect real-world clinical practice. Prior literature informed the a priori definition of clinically significant dyspnea improvement. Resampling-based multivariable models were created to determine patient characteristics significantly associated with dyspnea improvement. Results: Of the 524 AHF patients, approximately 40% of patients did not report substantial dyspnea improvement within the first 6 hours. Baseline characteristics were similar between those who did or did not improve, although there were differences in history of heart failure, coronary artery disease, and initial systolic blood pressure. For those who did improve, patient characteristics differed across all three scales, with the exception of baseline dyspnea severity for the VAS and five-point Likert scale (c-index ranged from 0.708 to 0.831 for each scale). Conclusions: Predictors of early dyspnea improvement differ from scale to scale, with the exception of baseline dyspnea. Attempts to use one scale to capture the entirety of the dyspnea symptom may be insufficient.
ER -
PANG, Peter S., Sean P. COLLINS, Kori SAUSER, Adin-Christian ANDREI, Alan B. STORROW, Judd E. HOLLANDER, Miguel TAVARES, Jindřich ŠPINAR, Cezar MACARIE, Dimitar RAEV, Richard NOWAK, Mihai GHEORGHIADE a Alexandre MEBAZAA. Assessment of Dyspnea Early in Acute Heart Failure: Patient Characteristics and Response Differences Between Likert and Visual Analog Scales. \textit{Academic Emergency Medicine}. Hoboken: Wiley-Blackwell, 2014, roč.~21, č.~6, s.~659-666. ISSN~1069-6563. Dostupné z: https://dx.doi.org/10.1111/acem.12390.
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