RT Journal Article
SR Electronic
T1 Patients and caregivers agreement in dyspnea assessment in pulmonology
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA866
DO 10.1183/13993003.congress-2016.PA866
VO 48
IS suppl 60
A1 Sabrina Urso
A1 Juliette Guislain
A1 Antoine Fremault
A1 Cécile Denoble
A1 Gregory Reychler
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA866.abstract
AB Introduction: Dyspnea is one of the most common symptoms in respiratory diseases. Even if new tools for dyspnea assessment appeared recently, visual analogic (VAS) and modified Borg scales (BS) are still largely used. The aim of this study was to evaluate patients and caregivers agreement in dyspnea assessment with these tools in pulmonology.Method: 133 patients (67.9 years ± 13.1, male=54%) with non-malignant pulmonary disease were assessed with VAS and BS during hospitalization or routine visit. Each assessment was performed by a caregiver and by the patient. The caregiver was blinded from the patient assessment. The heart rate and the peripheral oxygen saturation were measured at rest by pulse oximeter. Concordance between patient and caregiver was verified by Intra-class correlation (ICC). The clinical patient-caregiver disagreement was determined using Bland-Altman method.Results: A concordance was observed between the patient and caregiver for VAS assessment (ICC = 0.535; p < 0.001) and for BS assessment (ICC = 0.608; p < 0.001). Patient reported higher dyspnea than caregiver with VAS (4.9 ± 2.6 vs 4.2 ± 2.7; p= 0.030) and with BS (3.3 ± 2.2 vs 2.7 ± 2.0 p= 0.017). However, this difference did not achieve clinical significance neither for VAS (Diff = -0.70) nor for BS (Diff = -0.62).Conclusion: VAS and BS agreement between patient and caregiver was verified in pulmonology.