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Incentive Spirometry as a Means to Score Breathlessness

Loh, Li Cher and Teh, Pek Ngor and Raman, Sree and Vijayasingham, Pillai and Thayaparan, Tamizi (2005) Incentive Spirometry as a Means to Score Breathlessness. Malaysian Journal of Medical Sciences, 12 (1). pp. 39-50. ISSN 1394195X

Full text not available from this repository.

Official URL: http://www.medic.usm.my/publication/mjms/

Affiliations

International Medical University, Seremban, IMU Lung Research
Seremban Hospital, Negeri Sembilan, Dept. of Medicine

Abstract

Perceived breathlessness played an important role in guiding treatment in asthma. We developed a simple, user-friendly method of scoring perception of dyspnoea (POD) using an incentive spirometer, Triflo II (Tyco Healthcare, Mansfield, USA) by means of repetitive inspiratory efforts achieved within three minutes in 175 normal healthy subjects and 158 asthmatic patients of mild (n=26), moderate (n=78) and severe (n=54). Severity was stratified according to GINA guideline. The mean POD index in normal subjects, and asthmatic patients of mild, moderate and severe severity were: 6 (4-7) 16 (9-23), 25 (14-37), and 57 (14-100) respectively (p<0.001 One-Way ANOVA). Based on 17 asthmatic and 20 normal healthy subjects, intraclass correlation coefficients for POD index within subjects were high. In 14 asthmatic patients randomized to receiving nebulised b2-agonist or saline in a crossover, double-blind study, % FEV1 change correlated with % changes in POD index [rs –0.46, p=0.012]. Finally, when compared with 6-minutes walking test (6MWT) in an open label study, respiratory POD index correlated with walking
POD index in 21 asthmatic patients [rs= 0.58 (0.17 to 0.81) (p=0.007] and 26 normal subjects [0.50 (0.13 to 0.75) (p=0.008)]. We concluded that this test is discriminative between asthmatic patients of varying severity and from normal subjects, is reproducible, responsive to bronchodilator effect, and comparable with 6MWT. Taken together, it has the potential to score disability and POD in asthma effectively and simply.

Item Type:Journal
Keywords:Perception of dyspnoea, asthma, normal subject, incentive spirometer, six-minute walking test
Subjects:R Medicine
ID Code:856

1. Killian K.J. The objective measurement of breathlessness. Chest 1985; 88: 84S-90S.

2. Jones N.L. Respiratory function during exercise. In: Brewis RAL, Corrin B, Geddes DM, Gibson GJ, eds. Respiratory Medicine. 2nd ed. London;: W.B. Saunders Company Ltd; 1995.

3. Global Initiative for Asthma (GINA). Global strategy of asthma management and prevention. National Institutes of Health: National Heart, Lung and Blood Institute. Bethesda, MD; 2002 (Publication No. NIHNHLI 02-3659)

4. Lai C.K., De Guia T.S., Kim Y.Y., et al. Asthma control in the Asia-Pacific region: the Asthma Insights and Reality in Asia-Pacific Study. J Allergy Clin Immunol2003; 111(2): 263-8.

5. Rabe K.F., Vermeire P.A., Soriano J.B., Maier W.C.

Clinical management of asthma in 1999: the Asthma Insights

and Reality in Europe (AIRE) study. Eur Respir J 2000;16(5): 802-7.

6. Bauman A., Mitchell C.A., Henry R.L., et al. Asthma morbidity in Australia: an epidemiological study. Med

J Aust 1992; 156(12): 827-31.

7. Magadle R., Berar-Yanay N., Weiner P.. The risk of hospitalization and near-fatal and fatal asthma in relation to the perception of dyspnea. Chest 2002; 121(2): 329-3.

8. Baker R.R. Mishoe S.C., Zaitoun F.H., Arant C.B., Lucas J., Rupp NT. Poor perception of airway obstruction in children with asthma. J Asthma 2000; 37(7): 613-24-

9. Boulet L.P., Deschesnes F., Turcotte H., Gignac F.Nearfatal asthma: clinical and physiologic features,

perception of bronchoconstriction, and psychologic

profile. J Allergy Clin Immunol 1991; 88(6): 838-46.

10. Enright P.L. The six-minute walk test. Respir Care

2003; 48(8): 783-5.

11. Brooks D., Solway S., Gibbons W.J.. ATS statement on

six-minute walk test. Am J Respir Crit Care Med 2003;167(9): 1287.

12. Kervio G., Carre F., Ville N.S. Reliability and intensity of the six-minute walk test in healthy elderly subjects.Med Sci Sports Exerc 2003; 35(1): 169-74.

13. Shrout P.E., Fleiss J.L. Intraclass Correlations: Uses in Assessing Rater Reliability. Psychological Bulletin

1979; 2: 420-8.

14. Howell J.B.L. Breathlessness. In: Brewis RAL, Corrin

B, Geddes DM, Gibson GJ, eds. Respiratory Medicine, 2nd ed. London: W.B. Saunders Company Ltd, 1995.

15. Pauwels R.A, Buist A. S, Calverley P.M, Jenkins CR,

Hurd SS. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med 2001; 163(5):1256-76.

16. Teeter, J.G., Bleecker E.R. Relationship between airway

obstruction and respiratory symptoms in adult asthmatics. Chest 1998; 113(2): 272-7.

17.Manning H.L., Schwartzstein R.M. Respiratory.sensations in asthma: physiological and clinical implications. J Asthma 2001; 38(6): 447-60.

18. Weiner P., Magadle R., Beckerman M., Berar-Yanay N.

The relationship among inspiratory muscle strength, the perception of dyspnea and inhaled beta2-agonist use in patients with asthma. Can Respir J 2002; 9(5):307-12.

19. Bijl-Hofland I.D., Cloosterman S.G. Folgering H.T,

Akkermans R.P, van Schayck C.P. Relation of the perception of airway obstruction to the severity of asthma. Thorax 1999; 54(1): 15-19.

20. Burdon J.G, Juniper E.F, Killian K.J, Hargreave F.E,

Campbell E.J. The perception of breathlessness in asthma. Am Rev Respir Dis 1982; 126(5): 825-8.

21. Ottanelli R., Rosi E., Romagnoli I., et al. Perception of bronchoconstriction and bronchial hyperresponsiveness in asthma. Clin Sci (Lond) 2000; 98(6):681-7.

22. Koh Y.I, Choi I.S, Lim H. Airway responsiveness as a direct factor contributing to the dyspnoea perception in asthma. Respir Med 2001; 95(6): 464-70.

23. Veen J.C, Smits H.H, Ravensberg A.J, Hiemstra P.S, Sterk P.J, Bel E.H. Impaired perception of dyspnea in patients with severe asthma. Relation to sputum eosinophils. Am J Respir Crit Care Med 1998; 158(4):1134-41.

24. Osman L.M., McKenzie L., Cairns J., et al. Patient weighting of importance of asthma symptoms. Thorax 2001; 56(2): 138-42.

25. Martinez-Moragon E., Perpina M., Belloch A., de Diego

A., Martinez-Frances M. Determinants of dyspnea in patients with different grades of stable asthma. J Asthma 2003; 40(4): 375-82.

26. Roisman G.L, Peiffer C., Lacronique J.G., Le Cae A,

Dusser D.J. Perception of bronchial obstruction in asthmatic patients. Relationship with bronchial eosinophilic inflammation and epithelial damage and effect of corticosteroid treatment. J Clin Invest 1995;96(1): 12-21.

27. Liard R, Leynaert B, Zureik M, Beguin FX, Neukirch F. Using Global Initiative for Asthma guidelines to assess asthma severity in populations. Eur Respir J 2000; 16(4): 615-20.

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