Abstract:
BACKGROUND:In adult patients, the consistent use of language to describe dyspnea enhances patient-provider communication and contributes to diagnostic and therapeutic decisions. The objective of this research was to determine whether pediatric patients similarly display consistency in the language used to describe "uncomfortable awareness of breathing." METHODS:One hundred children between the ages of 8 and 15 years with moderate to severe persistent asthma enrolled in an asthma education research program completed questionnaires regarding descriptors of asthma on each of two occasions. In addition to the breathlessness questionnaires, demographic information, self-reported asthma severity, ED visits, missed school days, anthropometrics, and spirometry were obtained for each participant. RESULTS:Children were reliable in their choice of the descriptors that they applied to their breathing discomfort across two occasions, and they selected the same descriptors that were used by adults with asthma in previous studies. Children with greater self-reported asthma severity endorsed more descriptors to characterize breathing discomfort than did children with less severe asthma, but no differences were found among children based on demographic or anthropometric variables. CONCLUSIONS:Children with moderate to severe persistent asthma are reliable in their choice of descriptors of breathlessness. Knowledge of their experience of symptoms may be helpful clinically in the assessment and management of asthma.
journal_name
Chestjournal_title
Chestauthors
Harver A,Schwartzstein RM,Kotses H,Humphries CT,Schmaling KB,Mullin MLdoi
10.1378/chest.10-2388subject
Has Abstractpub_date
2011-04-01 00:00:00pages
832-838issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(11)60184-0journal_volume
139pub_type
杂志文章相关文献
CHEST文献大全abstract::Atrial fibrillation remains a common and challenging problem following cardiac surgery. The American College of Chest Physicians, through the Health and Science Policy Committee, established a panel to develop a set of clinical practice guidelines for the management or prophylaxis of atrial fibrillation or flutter in ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.2_suppl.17s
更新日期:2005-08-01 00:00:00
abstract::Brain natriuretic peptide (BNP), also called B-type natriuretic peptide, is a member of a family of structurally related hormones, the natriuretic peptides. Current data suggest that measurement of BNP plasma concentrations is a useful tool in the diagnosis of acute heart failure in patients presenting to an emergency...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.125.2.652
更新日期:2004-02-01 00:00:00
abstract:STUDY OBJECTIVES:To evaluate the chest radiographic filling pattern associated with partial liquid ventilation (PLV) with the perfluorochemical perflubron (LiquiVent; Alliance Pharmaceutical Corp; San Diego CA) as a function of dose and timing. DESIGN:Post hoc review of chest radiographs by three independent observers...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1378/chest.119.5.1503
更新日期:2001-05-01 00:00:00
abstract::A 20-year-old woman developed severe shortness of breath 4 h after a cesarean section. Chest roentgenogram showed a pleural effusion and tension pneumothorax; insertion of a chest tube drained liquid stool. At surgery she was found to have a left diaphragmatic defect with herniation, strangulation, and perforation of ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.3.950
更新日期:1993-03-01 00:00:00
abstract::COPD is a significant public health challenge, notably set to become the third leading cause of death and fifth leading cause of chronic disability worldwide by the next decade. Skeletal muscle impairment is now recognized as a disabling, extrapulmonary consequence of COPD that is associated with reduced quality of li...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2015.11.021
更新日期:2016-05-01 00:00:00
abstract::A 60-year-old man with massive hemoptysis was treated successfully by modified bronchoscopic balloon tamponade technique. Compared with previously reported techniques, the modified technique requires no special catheter, no complicated maneuver, and is able to be applied to more massive bleeding. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.109.3.842
更新日期:1996-03-01 00:00:00
abstract::To examine whether changes in respiratory chemosensitivity during the menstrual cycle are related to worsening of airway functions, hypoxic and hypercapnic ventilatory and P0.1 responses, airway function, and serum progesterone levels were studied in 11 female asthmatic patients in both the follicular and luteal phase...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.6.1718
更新日期:1993-12-01 00:00:00
abstract:BACKGROUND:There is increasing support for the use of noninvasive positive pressure ventilation (NPPV) in the treatment of patients with acute respiratory failure. Highest success rates are recorded in patients with exacerbation of COPD, particularly in patients presenting primarily with hypercarbic respiratory failure...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.115.1.173
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Pathogenic bacteria colonize the airways of 30% to 40% of patients with COPD and cause approximately 50% of exacerbations. New strains of nontypeable Haemophilus influenzae (NTHI) and Moraxella catarrhalis are associated with exacerbations. Antimicrobial protein/peptides (AMPs) play important roles in innate...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-2760
更新日期:2011-09-01 00:00:00
abstract::We developed a Rapid Tuberculosis Screening Program for use in women who have not had prenatal care. All patients who presented for delivery without a documented tuberculin skin test (TBN-ST) were given a symptom questionnaire. Those who had a positive response to any of the questions received a chest roentgenogram to...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.2.364
更新日期:1993-02-01 00:00:00
abstract::Most panels that develop clinical practice guidelines are poorly equipped to address resource allocation or cost issues associated with management options. This risks neglect, arbitrariness, lack of transparency, and methodological flaws in consideration of resource allocation. We provide recommendations for guideline...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.129.1.182
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:Analysis of laryngotracheoscopic findings of the upper airway tract following percutaneous tracheostomy using the technique according to Griggs. DESIGN:Retrospective cohort study PATIENTS:Nineteen of 32 long-term surviving patients (mean follow-up duration, 17 months; range, 11 to 23 months) underwent a mod...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.1.206
更新日期:2002-07-01 00:00:00
abstract:STUDY OBJECTIVE:The benefit of smoking cessation just prior to surgery in preventing postoperative pulmonary complications has not been proven. Some studies actually show a paradoxical increase in complications in those quitting smoking only a few weeks or days prior to surgery. We studied the effect of smoking and the...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.6.1977
更新日期:2005-06-01 00:00:00
abstract::Random assessments of SaO2 were performed via pulse oximetry in 274 hospitalized non-ICU patients prescribed supplemental O2 in a large tertiary care university hospital. In 507 assessments performed in patients inspiring the prescribed O2, 426 were receiving excessive amounts of O2 to maintain a SaO2 > or = 92 percen...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.6.1672
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:Thoracentesis can be accomplished by active aspiration or drainage with gravity. This trial investigated whether gravity drainage could protect against negative pressure-related complications such as chest discomfort, re-expansion pulmonary edema, or pneumothorax compared with active aspiration. METHODS:Thi...
journal_title:Chest
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.chest.2019.10.025
更新日期:2020-03-01 00:00:00
abstract:STUDY OBJECTIVES:Previous studies have reported that magnesium (Mg) deficiency is associated with coronary spasm. However, little is known about the preventive effect of Mg on coronary spasm. The present study investigated whether Mg prevents coronary spasm in patients with vasospastic angina (VSA). DESIGN:Effectivene...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.118.6.1690
更新日期:2000-12-01 00:00:00
abstract::Immunohistochemistry has come to occupy a key position among the armamentarium of tools pathologists apply to the evaluation of lung and pleural neoplasms. This technique uses antibodies that bind to specific antigens, usually proteins, enabling microscopic detection of the antigens. Over the last several decades, an ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.11-3327
更新日期:2012-11-01 00:00:00
abstract::Three sets of guidelines for the management of COPD that are widely recognized (from the European Respiratory Society [ERS], American Thoracic Society [ATS], and British Thoracic Society [BTS]) are reviewed and compared. None of the documents uses classic evidence-based documentation, and, in many instances, the recom...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.117.2_suppl.23s
更新日期:2000-02-01 00:00:00
abstract::A 32-year-old man was admitted to the emergency department of our hospital after experiencing a peripheral arterial embolism. Investigation of the possible embolic sources in an otherwise asymptomatic patient revealed the existence of a left ventricular diverticulum. The left ventricular diverticulum is a rare congeni...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.4.1452
更新日期:2005-04-01 00:00:00
abstract::Every year, millions of patients are diagnosed with pulmonary nodules, and as increasing numbers of people undergo lung cancer screening, even more patients will be found to have a nodule. The vast majority of patients cannot benefit from the detection of a pulmonary nodule because most are benign. Accordingly, it is ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2017.10.013
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To investigate the interrelationship of free radicals (FRs), ischemic preconditioning (IP), and hemodynamic function in coronary artery bypass graft (CABG) patients. DESIGN:Prospective, randomized, and controlled clinical study. PATIENTS:Forty CABG patients were randomized into an IP group (n = 20) and a co...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.119.4.1061
更新日期:2001-04-01 00:00:00
abstract::Preclinical studies indicate that allogeneic human mesenchymal stem cells (MSC) may be useful for the treatment of several clinical disorders, including sepsis, acute renal failure, acute myocardial infarction, and more recently, acute lung injury (ALI). This article provides a brief review of the biologic qualities o...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.10-0518
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:It would be valuable to have a noninvasive method of measuring impaired pulmonary gas exchange in patients with lung disease and thus reduce the need for repeated arterial punctures. This study reports the results of using a new test in a group of outpatients attending a pulmonary clinic. METHODS:Inspired a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.02.001
更新日期:2018-08-01 00:00:00
abstract::Pulmonary rejection and infection are the most important complications after lung transplantation. To evaluate the diagnostic value of pulmonary function testing for early detection and discrimination of these complications, seven heart-lung recipients were examined. The diagnosis of each complication was confirmed by...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.3.864
更新日期:1992-09-01 00:00:00
abstract:STUDY OBJECTIVES:The etiologic role of bacterial pathogens isolated from sputum culture in 40 to 50% of acute exacerbations of chronic bronchitis (AECB) is controversial. If bacterial pathogens cause these AECB, they should be associated with greater neutrophilic airway inflammation than pathogen-negative exacerbations...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.6.1557
更新日期:2000-12-01 00:00:00
abstract::Cough and wheezing are frequent side effects of inhaling beclomethasone dipropionate aerosol (BA) in patients with asthma. Twenty percent of our outpatient asthmatic subjects are unable to take BA due to these side effects. Twelve patients with history of severe cough and wheezing after inhaling BA were tested. Three ...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.91.2.207
更新日期:1987-02-01 00:00:00
abstract:STUDY OBJECTIVES:The objective of this study was to evaluate the feasibility of the sentinel lymph node (SLN) biopsy in peripheral clinically stage I or II non-small cell lung cancer (NSCLC) using (99m)Tc colloid and a hand-held gamma detection probe, associated with a blue dye technique. DESIGN:Prospective study. SE...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.2.443
更新日期:2005-02-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the efficacy and safety profiles of corticosteroid therapy in severe acute respiratory syndrome (SARS) patients. DESIGN:Four hundred one of 1,278 SARS cases treated in Guangzhou China between December 2002 and June 2003 fulfilled the diagnostic criteria issued by the World Health Organiz...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.129.6.1441
更新日期:2006-06-01 00:00:00
abstract:UNLABELLED:STUDY SETTINGS AND INTERVENTIONS: Sixty individuals complaining of dyspnea on exertion, but with normal spirometry and lung volumes and normal chest roentgenograms were reviewed for this study. These individuals were selected from a large group of outpatients (552 individuals over a seven-year period) who we...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.4.965
更新日期:1992-04-01 00:00:00
abstract::In a prospective study murmurs increased in intensity with carotid sinus pressure in 18 of 26 patients with hypertrophic obstructive cardiomyopathy (HOCM) (sensitivity, 69.2 percent for the 26 patients, 85.7 percent for the 21 patients in whom heart rate and blood pressure decreased with carotid sinus pressure). On th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.4.814
更新日期:1988-04-01 00:00:00