The determinants of dyspnoea evaluated by the mMRC scale: The French Palomb cohort

Ouaalaya, E.H.; Falque, Laurent; Dupis, Jean Michel; Sabatini, Marielle; Bernady, A.; Nguyen, Laurent; Ozier, A.; Nocent-Ejnaini, C.; Guillou, F. Le; Molimard, Mathiéu; Raherison‐Semjen, Chantal

doi:10.1016/j.resmer.2020.100803

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…In patients with ILD, dyspnoea was an independent predictor of anxiety and depression 19 . Conversely, in patients with chronic obstructive pulmonary disease (COPD), anxiety was a predictor of dyspnoea 27 . After adjusting for anxiety and depression history in our analysis, the association between dyspnoea and stress remained significant.…”

Section: Discussionmentioning

confidence: 74%

“…19 Conversely, in patients with chronic obstructive pulmonary disease (COPD), anxiety was a predictor of dyspnoea. 27 After adjusting for anxiety and depression history in our analysis, the association between dyspnoea and stress remained significant. Whilst exercise training is beneficial at improving 6-min walk test distance and HRQOL measurements, it does not reduce mMRC dyspnoea scores in asbestosis and silicosis and other dust-related respiratory diseases 28 or ILD.…”

Section: Discussionmentioning

confidence: 76%

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Predictors of psychological stress in silica‐exposed workers in the artificial stone benchtop industry

et al. 2022

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Background and objective Artificial stone benchtops are a popular kitchen product, but dust from their preparation and installation contains respirable crystalline silica, which causes silicosis. Silicosis is a preventable, permanent lung disease. The aim of this study was to assess mental health in workers from the artificial stone benchtop industry at risk of silicosis. Methods Workers from the artificial stone benchtop industry undergoing assessment for silica‐associated disease were included. Information on demographics; occupational, medical and smoking history; modified Medical Research Council dyspnoea scale; Perceived Stress Scale (PSS‐10) questionnaire; spirometry; and chest x‐ray was collected. Univariate and multivariate regression analyses were conducted. Results Of the 547 participants, the majority were men, aged under 45 years, in the industry for less than 10 years. With each increase of dyspnoea score, PSS‐10 scores increased. Higher PSS‐10 scores were also observed in those no longer in the industry, with a history of anxiety or depression, attending assessment early in the programme and a medium exposure duration. Participants who used an interpreter reported lower stress. No difference was observed across job title, age, sex, smoking, spirometry or chest x‐ray categories after multivariate analysis. Conclusion This study identified workers with dyspnoea as likely to report higher stress. Other factors, such as leaving the industry, early attendance and a history of anxiety or depression, are also helpful in identifying workers at risk of poorer mental health outcomes.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 76%

Predictors of psychological stress in silica‐exposed workers in the artificial stone benchtop industry

et al. 2022

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“…Furthermore, in individuals for whom the pharmacological treatment is optimal, anxiety and depressive symptoms are commonly reported as the strongest determinants of dyspnoea 18. Other factors such as body mass index, severity of the airway obstruction, age, sex, comorbidities and physical condition had independent effects on the sensory and physical domains of dyspnoea in people with chronic respiratory diseases 18–20. However, less is known regarding the factors associated with the affective dimensions of dyspnoea and their impact on dyspnoea changes following PR has never been reported.…”

Section: Introductionmentioning

confidence: 99%

Physical and affective components of dyspnoea are improved by pulmonary rehabilitation in COPD

Grosbois¹,

Géphine

Kyheng

et al. 2022

BMJ Open Resp Res

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BackgroundDyspnoea is a multidimensional experience of breathing discomfort, but its affective dimension is unfrequently assessed in people with chronic obstructive pulmonary disease (COPD). We evaluated the effectiveness of a home-based pulmonary rehabilitation (PR) programme on the physical and affective components of dyspnoea assessed by the Dyspnoea-12 (D-12) questionnaire. We also determined the baseline characteristics that contributed to the change in D-12 scores.MethodsIn this retrospective study, 225 people with COPD (age, 65±11 years; forced expiratory volume in 1 s (FEV1), 35±15% of predicted value) were enrolled into a person-centric home-based PR, consisting of a weekly supervised 90 min home session during 8 weeks. D-12 questionnaire, health status, anxiety and depressive symptoms, exercise tolerance and general fatigue were assessed at baseline (M0), at the end of PR programme (M2), and 8 (M8) and 14 months (M14) after M0. Multivariable analysis of covariance (ANCOVA) models were performed to identify the baseline characteristics that contributed to the change in D-12 scores.ResultsBoth physical and affective components of dyspnoea and all the other outcome measures were improved at M2, M8 and M14 compared with baseline (p<0.05). Baseline body mass index was the only significant independent predictor of the changes in physical dyspnoea score, while the change in the affective dimension of dyspnoea after PR was associated with FEV1, anxiety symptoms and exercise tolerance (6 min stepper test). However, since these variables had only a small impact on the changes in D-12 questionnaire scores, results from the ANCOVA analysis should be taken cautiously.ConclusionBoth physical and affective components of dyspnoea were improved, at short term and long term, by 8 weeks of individualised home-based PR. The present results support the importance of assessing dyspnoea as a multidimensional experience during PR, warranting replication by robustly designed randomised and controlled studies.

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“…As mMRC score grades increase, patients’ quality of life significantly decreases. 27 In addition, the effect of drug treatment is limited and some patients choose to give up treatment. This suggests that in our clinical work, we should pay attention to the pulmonary function and mMRC classification of elderly COPD patients, assess the needs of such patients as early as possible, and provide tailored interventions to improve dyspnea symptoms and enhance patients’ readiness for discharge.…”

Section: Discussionmentioning

confidence: 99%

Current Status and Influencing Factors of Readiness for Discharge of Elderly Patients with Chronic Obstructive Pulmonary Disease

Wu¹,

Luo²,

Du³

et al. 2023

PPA

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Objective Readiness for hospital discharge is an important indicator of patients’ transition from illness to health and can predict rehabilitation and prognosis. Identifying factors that influence readiness for discharge is crucial for developing effective nursing interventions. Therefore, this study aims to investigate the current status of discharge readiness and its influencing factors in elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 311 elderly inpatients diagnosed with COPD were enrolled in this investigation at a tertiary hospital in Chengdu between December 2021 and June 2022. Questionnaires were designed to collect general information, disease-related information, and responses to the Readiness for Hospital Discharge Scale (RHDS) and the Quality of Discharge Teaching Scale (QDTS). Univariate and multivariate linear regression analyses were employed to further analyze factors related to discharge readiness and the correlation between discharge readiness and the quality of discharge guidance. Results The total score of discharge readiness of elderly COPD patients was 77.72 ± 11.86 with a mean score of 6.48 ± 0.19 for each item. The quality of discharge instructions was 110.54 ± 15.66, with a mean score of 6.12 ± 0.15 for each item. Discharge preparation was positively correlated with the quality of discharge guidance. Multivariate analysis showed that marital status, admission mode, length of stay in hospital, Classification of Severity of Airflow Limitation, mMRC classification, number of medications taken with discharge, presence of inhalers in medication orders, mode of home oxygen therapy, and quality of discharge guidance were independent factors of discharge readiness in elderly COPD patients ( P < 0.05). Conclusion Both discharge readiness and the quality of discharge guidance for elderly COPD patients in China are currently suboptimal and need further improvement. The survey findings provide valuable insights that can guide future management practices and interventions aimed at improving discharge readiness.

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The determinants of dyspnoea evaluated by the mMRC scale: The French Palomb cohort

Cited by 5 publications

References 37 publications

Predictors of psychological stress in silica‐exposed workers in the artificial stone benchtop industry

Predictors of psychological stress in silica‐exposed workers in the artificial stone benchtop industry

Physical and affective components of dyspnoea are improved by pulmonary rehabilitation in COPD

Current Status and Influencing Factors of Readiness for Discharge of Elderly Patients with Chronic Obstructive Pulmonary Disease

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