A Community Population Survey of Prevalence and Severity of Dyspnea in Adults
A Community Population Survey of Prevalence and Severity of Dyspnea in Adults
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DOI：
10.1016/j.jpainsymman.2009.01.006
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发表时间：
2009-10-01
影响因子：
4.7
通讯作者：
Abernethy, Amy P.
中科院分区：
文献类型：
--
作者：
Currow, David C.;Plummer, John L.;Abernethy, Amy P.
鉴于呼吸困难对症治疗方面的进展，以及与慢性呼吸困难有关的生理和心理发病率，估计可能受益于更好的支持的人口规模势在必行。患病率估计值差异很大（临床就诊的0.9%至32%），并且在很大程度上仅依赖于使用临床服务的受访者。全人群方法可能能够更好地定义慢性呼吸困难的“真实”患病率，并量化呼吸困难限制的运动。本研究的目的是估计慢性呼吸困难的人群水平，运动限制的严重程度，以及呼吸困难存在的人口统计学预测因素。在南澳使用了一种全人群面对面调查方法（n = 8，396），直接标准化年龄、性别、出生国和农村。使用改良的医学研究理事会呼吸困难量表，询问受访者过去六个月中至少三个月的呼吸困难和导致呼吸困难的用力水平。单变量和多变量分析确定了更有可能经历慢性呼吸困难的人群的人口统计学特征。参与率为65.3%，8.9%的受访者患有呼吸困难，长期限制运动。在多变量分析中，与慢性呼吸困难显著相关的因素包括女性（P <0.001）、非全职工作（P < 0.001）、低收入（P = 0.007）和年龄较大（P = 0.031）。社区中存在严重的慢性呼吸困难。鉴于患病率，探索呼吸困难的发病、潜在病因和随后的卫生服务利用以及健康后果是可行的。J Pain Symptom Manage 2009;38：533-545. (C)2009年美国癌症疼痛缓解委员会。由爱思唯尔公司出版All rights reserved.
Given the progress in the symptomatic treatment of breathlessness, and the physical and psychological morbidity associated with chronic breathlessness, estimates of the size of the population that may benefit from better support become imperative. Prevalence estimates have varied widely (0.9 % of clinical encounters to 32 %) and have largely relied only on respondents who used clinical services. Whole-of-populalion approaches may be able to define better the "true" prevalence of chronic breathlessness and quantify exertion limited by breathlessness. The aim of this study was to estimate population levels of chronic breathlessness, severity of limits to exercise, and demographic predictors of the presence of breathlessness. A whole-of-population face-to-face survey method (n = 8,396) in South Australia was used, directly standardized for age, gender, country of birth, and rurality. Respondents were asked about breathlessness and levels of exertion causing breathlessness for at least three of the last six months using a modified Medical Research Council dyspnea scale. Univariate and multivariate analyses identify the demographic characteristics of people more likely to experience chronic breathlessness. With a participation rate of 65.3%, 8.9% of respondents had breathlessness that chronically limited exertion. Significant associations with chronic breathlessness in multivariate analysis included female sex (P < 0.001), not working full time (P < 0.001), low income (P = 0.007), and older age (P = 0.031). There are significant levels of chronic breathlessness in the community. Given the prevalence, it is feasible to explore the onset of breathlessness, the underlying etiologies and subsequent health service utilization, and health consequences. J Pain Symptom Manage 2009;38:533-545. (C) 2009 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.