Breathlessness in Elderly Adults during the Last Year of Life Sufficient to Restrict Activity: Prevalence, Pattern, and Associated Factors
| Autor: | Miriam J. Johnson, Aynharan Sinnarajah, Evelyne A. Gahbauer, Magnus Ekström, David C. Currow, Thomas M. Gill, Martin Bland |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Context (language use) Article 03 medical and health sciences 0302 clinical medicine Internal medicine Activities of Daily Living medicine Prevalence Humans 030212 general & internal medicine Elderly adults Geriatric Assessment Depression (differential diagnoses) Fatigue Retrospective Studies Aged Aged 80 and over Terminal Care business.industry Percentage point Secondary data respiratory system medicine.disease Confidence interval United States Dyspnea 030228 respiratory system Geriatrics Heart failure Physical therapy Anxiety Female Geriatrics and Gerontology medicine.symptom business Follow-Up Studies |
| Popis: | Objectives To investigate relationships between age, clinical characteristics, and breathlessness sufficient to have people spend at least half a day a month in bed or to cut down on their usual activities (restricting breathlessness) during the last year of life. Design Secondary data analysis. Setting General community. Participants Nondisabled persons aged 70 and older (N = 754). Measurements Monthly telephone interviews were conducted to determine the occurrence of restricting breathlessness. The primary outcome was percentage of months with restricting breathlessness reported during the last year of life. Results Data regarding breathlessness were available for 548 of 589 (93.0%) participants who died (mean age 86.7, range 71–106; 38.8% male) between enrollment (March 1998 to October 1999) and June 2013; 311 of these (56.8%) reported restricting breathlessness at some point during the last year of life, but none reported it every month. Frequency increased in the months closer to death, irrespective of cause. Restricting breathlessness was associated with anxiety (0.25 percentage points greater in months with breathlessness per percentage point months reported anxiety, 95% confidence interval (CI) = 0.16–0.34, P |
| Databáze: | OpenAIRE |
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