Validation of a verbal dyspnoea rating scale in the emergency department

Saracino, Amanda; Weiland, Tracey J; Dent, Andrew W; Jolly, Brian

doi:10.1111/j.1742-6723.2008.01132.x

Cited by 12 publications

(16 citation statements)

References 19 publications

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“…Additional participant demographics are described in our previous study, which validated the verbal breathlessness rating scale in the ED 13 …”

Section: Resultsmentioning

confidence: 99%

“…As previously described, 13 a prospective cross‐sectional design was used with a convenience sample of patients presenting to the ED with SOB. Approval was obtained by the Human Research Ethics Committees of Monash University and the participating health service.…”

Section: Methodsmentioning

confidence: 99%

“…Patients were enrolled by a single investigator (AS) dedicated to patient enrolment during day and night shifts across 24 h period and on all weekdays. Participants were excluded if aged less than 18 years, unable to communicate adequately in English, unable to give informed consent or were highly dependent on medical care 13 …”

Section: Methodsmentioning

confidence: 99%

“…We have recently validated a verbal breathlessness rating scale in the ED by correlating patient subjective verbal dyspnoea scores (VDS; on a scale from 0 to 10) with physiological parameters 13 . This scale is simple to use and incorporate into routine assessment and provides a rapid and reliable quantitative indication of dyspnoea 13 . Accurate risk stratification of patients using the VDS could assist with fast‐tracking and impact positively on patient care outcomes 1–5,7 …”

Section: Introductionmentioning

confidence: 99%

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Verbal dyspnoea score predicts emergency department departure status in patients with shortness of breath

Saracino

Weiland

Jolly

et al. 2010

Emerg Medicine Australasia

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“…Additional participant demographics are described in our previous study, which validated the verbal breathlessness rating scale in the ED 13 …”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Verbal dyspnoea score predicts emergency department departure status in patients with shortness of breath

Saracino

Weiland

Jolly

et al. 2010

Emerg Medicine Australasia

Self Cite

View full text Add to dashboard Cite

show abstract

“…14,15 Patients were asked, “On a scale from 0 to 10, how bad is your shortness of breath, with zero being no shortness of breath and 10 the worst shortness of breath you could ever imagine?” A trained research assistant asked the patients to rate dyspnea severity at admission, at 24 hours, 48 hours, and on the day of discharge. Usual or baseline dyspnea levels were assessed by asking “Using the same 0 to 10 scale, how would you rate your shortness of breath on a usual day before you became sick and came into the hospital?” At each assessment, the patients were not reminded of their prior score.…”

Section: Methodsmentioning

confidence: 99%

The Trajectory of Dyspnea in Hospitalized Patients

DiNino

Stefan

Priya

et al. 2016

Journal of Pain and Symptom Management

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Context The trajectory of dyspnea for patients hospitalized with acute cardiopulmonary disease, who are not terminally ill, is poorly characterized. Objectives To investigate the natural history of dyspnea during hospitalization, and examine the role that admission diagnosis, and patient factors play in altering symptom resolution. Methods Prospective cohort study of patients hospitalized for an acute cardiopulmonary condition at a large tertiary care center. Dyspnea levels and change in dyspnea score were the main outcomes of interest and were assessed at admission, 24 and 48 hours and at discharge using the verbal 0 - 10 numeric scale. Results Among 295 patients enrolled, the median age was 68 years, and the most common admitting diagnoses were heart failure (32%), chronic obstructive pulmonary disease (COPD) (39%), and pneumonia (13%). The median dyspnea score at admission was 9 (interquartile range [IQR] 7, 10); decreased to 4 (IQR 2, 7) within the first 24 hours; and subsequently plateaued at 48 hours. At discharge, the median score had decreased to 2.75 (IQR 1, 4). Compared to patients with heart failure, patients with COPD had higher median dyspnea score at baseline and admission, and experienced a slower resolution of dyspnea symptoms. After adjusting for patient characteristics, the change in dyspnea score from admission to discharge was not significantly different between patients hospitalized with congestive heart failure, COPD or pneumonia. Conclusion Most patients admitted with acute cardiopulmonary conditions have severe dyspnea on presentation, and their symptoms improve rapidly after admission. The trajectory of dyspnea is associated with the underlying disease process. These findings may help set expectations for the resolution of dyspnea symptoms in hospitalized patients with acute cardiopulmonary diseases.

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Predicting outcome for ambulance patients with dyspnea: a prospective cohort study

et al. 2020

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Objective To validate the discrimination and classification accuracy of a novel acute dyspnea scale for identifying outcomes of out‐of‐hospital patients with acute dyspnea. Methods Prospective observational population‐based study in the North Denmark Region. We included patients from July 1, 2017 to September 24, 2019 assessed as having acute dyspnea by the emergency dispatcher or by emergency medical services (EMS) personnel. Patients rated dyspnea using the 11‐point acute dyspnea scale. The primary outcomes were hospitalization >2 days, ICU admission within 48 hours of ambulance run, and 30‐day mortality. We used 5‐fold cross‐validation and area under receiver operating curves (AUC) to assess predictive properties of the acute dyspnea scale score alone and combined with vital data, age, and sex. Results We included 3144 EMS patients with reported dyspnea. Median acute dyspnea scale score was 7 (interquartile range 5 to 8). The outcomes were: 1966 (63%) hospitalized, 164 (5%) ICU stay, and 224 (9%) died within 30 days of calling the ambulance. The acute dyspnea scale score alone showed poor discrimination for hospitalization (AUC 0.56, 95% confidence intervals: 0.54–0.58), intensive care unit admission (0.58, 0.53–0.62), and mortality (0.46, 0.41–0.50). Vital signs (respiratory rate, blood oxygen saturation, blood pressure, and heart rate) showed similarly poor discrimination for all outcomes. The combination of [vital signs + acute dyspnea scale score] showed better discrimination for hospitalization, ICU admission, and mortality (AUC 0.71–0.72). Patients not able to report an acute dyspnea scale score worse outcomes on all parameters. Conclusion The dyspnea scale showed poor accuracy and discrimination when predicting hospitalization, stay at intensive care unit, and mortality on its own. However, the dyspnea scale may be beneficial as performance measure and indicator of out‐of‐hospital care.

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Validation of a verbal dyspnoea rating scale in the emergency department

Abstract: A verbal numerical SOB rating scale is a valid measure of breathlessness in the ED, and might therefore provide useful insight into a symptom that is otherwise unmeasurable.

Cited by 12 publications

References 19 publications

Verbal dyspnoea score predicts emergency department departure status in patients with shortness of breath

Verbal dyspnoea score predicts emergency department departure status in patients with shortness of breath

The Trajectory of Dyspnea in Hospitalized Patients

Predicting outcome for ambulance patients with dyspnea: a prospective cohort study

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