Factors associated with discrepancies between poor dyspnea perception and abnormal lung function in 65 asthmatic patients
| Autor: | A. Rhanim, Laila Herrak, Taoufiq Dakka, Mustapha El Ftouh, Leila Achachi, A. Jniene, S. Aboudrar, Mustapha El Bakkali |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Spirometry medicine.medical_specialty genetic structures Exacerbation media_common.quotation_subject spirometry 030231 tropical medicine Physical examination Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Perception Internal medicine medicine Humans Prospective Studies Medical prescription Lung Depression (differential diagnoses) media_common Asthma dyspnea perception medicine.diagnostic_test business.industry Articles General Medicine Middle Aged medicine.disease respiratory tract diseases Morocco Dyspnea Pulmonology Female business |
| Zdroj: | African Health Sciences |
| ISSN: | 1680-6905 |
| DOI: | 10.4314/ahs.v20i3.53 |
| Popis: | Background: Dyspnea is a subjective symptom of asthma whose perception is characterized by an interindividual varia- bility. Poor dyspnea perception is usually associated with increased risk of exacerbation and may lead to inappropriate asth- ma management and under-treatment. We sought to identify factors associated with discrepancies between poor dyspnea perception and abnormal lung function in patients with moderate persistent asthma. Methodology: 65 patients, who attended their scheduled follow-up pulmonology consultation at Ibn Sina Hospital (Rabat - Morocco), underwent interrogation including modified Medical Research Council (mMRC) scale for dyspnea, physical examination and spirometry. Two groups, those with mMRC < 2 (poor dyspnea perceivers) and those with mMRC scale ≥ 2 were compared. Results: Poor dyspnea perception was found in 21 patients (32.3%). Associated factors were male sex (p : 0.03), low so- cio-economic income (p : 0.01), an onset of symptoms greater than 10 years (p : 0.01), BMI ≥ 25 Kg/m2 (p : 0.04) and depression (p : 0.04). Conclusion: The results revealed factors significantly associated with poor dyspnea perception despite an obstructive venti- latory disorder. These factors could usefully be considered to successfully manage asthma as well as the regular prescription of an objective test like spirometry. Keywords: Asthma; dyspnea perception; spirometry. |
| Databáze: | OpenAIRE |
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