Interpretability of Change Scores in Measures of Balance in People With COPD.

Abstract:

BACKGROUND:Balance deficits and an increased fall risk are well documented in individuals with COPD. Despite evidence that balance training programs can improve performance on clinical balance tests, their minimal clinically important difference (MCID) is unknown. The aim of this study was to determine the MCID of the Berg Balance Scale (BBS), Balance Evaluation Systems Test (BESTest), and Activities-Specific Balance Confidence (ABC) scale in patients with COPD undergoing pulmonary rehabilitation. METHODS:We performed a secondary analysis of data from two studies of balance training in COPD (n = 55). The MCID for each balance measure was estimated using the following anchor and distribution-based approaches: (1) mean change scores on a patient-reported global change in balance scale, (2) optimal cut-point from receiver operating characteristic curves (ROCs), and (3) the minimal detectable change with 95% confidence (MDC95). RESULTS:Data from 55 patients with COPD (mean age, 71.2 ± 7.1 y; mean FEV1, 39.2 ± 15.8% predicted) were used in the analysis. The smallest estimate of MCID was from the ROC method. Anchor-based estimates of the MCID ranged from 3.5 to 7.1 for the BBS, 10.2 to 17.4 for the BESTest, and 14.2 to 18.5 for the ABC scale; their MDC95 values were 5.0, 13.1, and 18.9, respectively. CONCLUSIONS:Among patients with COPD undergoing pulmonary rehabilitation, a change of 5 to 7 points for the BBS, 13 to 17 points for the BESTest, and 19 points for the ABC scale is required to be both perceptible to patients and beyond measurement error.

journal_name

Chest

journal_title

Chest

authors

Beauchamp MK,Harrison SL,Goldstein RS,Brooks D

doi

10.1378/chest.15-0717

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

696-703

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)00099-9

journal_volume

149

pub_type

杂志文章

相关文献

CHEST文献大全
  • Left ventricular function in myocardial infarction. Predictive value during negative low-level exercise three weeks postinfarction.

    abstract::To evaluate whether the response of left ventricular pump function during low-level exercise in the early postinfarction period can anticipate its change during the first year after acute myocardial infarction (MI), global and regional ejection fractions (EF) were investigated using radionuclide angiography in 52 cons...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.2.335

    authors: Iwasaka T,Sugiura T,Nakamura S,Okubo N,Inada M

    更新日期:1992-08-01 00:00:00

  • Prolonged mechanical ventilation: review of care settings and an update on professional reimbursement.

    abstract::The goal of this article is to provide an update on recent changes to current procedural terminology codes used for billing physician services for mechanical ventilation in chronic care facilities. In addition to billing information, background data relevant to prolonged mechanical ventilation are reviewed. Topics cov...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-0656

    authors: White AC,O'Connor HH,Kirby K

    更新日期:2008-02-01 00:00:00

  • Proteomics in pulmonary medicine.

    abstract::Proteomics is the study of the entire protein complement of the genome (the proteome) in a biological system. Proteomic studies require a multidisciplinary approach and have only been practical with the convergence of technical and methodologic improvements including the following: advances in mass spectrometry and ge...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.130.2.567

    authors: Bowler RP,Ellison MC,Reisdorph N

    更新日期:2006-08-01 00:00:00

  • Pulmonary artery catheter-induced hemorrhage.

    abstract::Pulmonary artery rupture by a flow-directed balloon-tipped catheter is a rare complication if guidelines for insertion of catheters are strictly applied. It should be stressed that the need for a "confirmed" wedge pressure should be weighed against the very real risk of this potentially fatal complication. Users of th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.85.1.128

    authors: Hannan AT,Brown M,Bigman O

    更新日期:1984-01-01 00:00:00

  • Pulse transit time improves detection of sleep respiratory events and microarousals in children.

    abstract:OBJECTIVES:To evaluate the additional information provided by pulse transit time (PTT), a noninvasive tool, when using during polysomnography for the diagnosis of sleep breathing disorders in a pediatric population. MAIN FINDINGS:Respiratory and microarousals events were scored twice. The first scoring was performed u...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.3.722

    authors: Pépin JL,Delavie N,Pin I,Deschaux C,Argod J,Bost M,Levy P

    更新日期:2005-03-01 00:00:00

  • Homogeneity of bronchopulmonary distribution of 99mTc aerosol in normal subjects and in cystic fibrosis patients.

    abstract::We characterized the bronchopulmonary distribution of a 0.9 percent saline aerosol (1.12 microM) labelled with 99mTc sulfur colloid in nine normal subjects and five patients with CF. Homogeneity of distribution was quantified using indices derived from computerized analysis of Anger camera pulmonary images including s...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.4.822

    authors: Laube BL,Links JM,LaFrance ND,Wagner HN Jr,Rosenstein BJ

    更新日期:1989-04-01 00:00:00

  • Electrocardiographic findings in brain death; description and presumed mechanism.

    abstract::Electrocardiogram changes and pharmacologic responses were studied in 28 cases of brain death. Cardiac activity in this condition is possibly determined by the dynamic balance between the depressant action of hypothermia and the stimulating action of the sympathetic nervous system (without any vagal or central influen...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.4.425

    authors: Drory Y,Ouaknine G,Kosary IZ,Kellermann JJ

    更新日期:1975-04-01 00:00:00

  • Greater risk of hospitalization in children with Down syndrome and OSA at higher elevation.

    abstract:BACKGROUND:Children with Down syndrome (DS) are at high risk for OSA. Increasing elevation is known to exacerbate underlying respiratory disorders and worsen sleep quality in people without DS, but whether altitude modulates the severity of OSA in DS is uncertain. In this study, we evaluate the impact of elevation (≤ 1...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.14-1883

    authors: Jensen KM,Sevick CJ,Seewald LAS,Halbower AC,Davis MM,McCabe ERB,Kempe A,Abman SH

    更新日期:2015-05-01 00:00:00

  • Mask proportional assist vs pressure support ventilation in patients in clinically stable condition with chronic ventilatory failure.

    abstract:OBJECTIVE:To compare the short-term physiologic effects of mask pressure support ventilation (PSV) and proportional assist ventilation (PAV) in patients in clinically stable condition with chronic ventilatory failure (CVF). DESIGN:Randomized, controlled physiologic study. SETTING:Lung function units of two pulmonary ...

    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.122.2.479

    authors: Porta R,Appendini L,Vitacca M,Bianchi L,Donner CF,Poggi R,Ambrosino N

    更新日期:2002-08-01 00:00:00

  • The drug-resistant pneumococcus: clinical relevance, therapy, and prevention.

    abstract::Streptococcus pneumoniae has been known for > 100 years as the most important bacterial pathogen of the respiratory tract in adults and children. In recent years, the pneumococcus has begun to exhibit increasing resistance to antimicrobial agents. Because of the huge number of infections caused by this organism, the d...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.117.2.530

    authors: Harwell JI,Brown RB

    更新日期:2000-02-01 00:00:00

  • Maternal and grandmaternal smoking patterns are associated with early childhood asthma.

    abstract:OBJECTIVE:To investigate the associations of maternal and grandmaternal smoking before, during, and after pregnancy with childhood asthma. DESIGN, SETTING, AND PARTICIPANTS:We conducted a case-control study nested within the Children's Health Study in southern California. The case patients consisted of 338 children wi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.4.1232

    authors: Li YF,Langholz B,Salam MT,Gilliland FD

    更新日期:2005-04-01 00:00:00

  • Late admission to the ICU in patients with community-acquired pneumonia is associated with higher mortality.

    abstract:BACKGROUND:Limited data are available on the impact of time to ICU admission and outcomes for patients with severe community acquired pneumonia (CAP). Our objective was to examine the association of time to ICU admission and 30-day mortality in patients with severe CAP. METHODS:A retrospective cohort study of 161 ICU ...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.09-1547

    authors: Restrepo MI,Mortensen EM,Rello J,Brody J,Anzueto A

    更新日期:2010-03-01 00:00:00

  • Mitral valve prolapse. Cross sectional and provocative M-mode echocardiography.

    abstract::False-negative supine M-mode echocardiograms occur in some patients with proved mitral valve prolapse. To investigate further, we performed M-mode echocardiography (MME) during standing and after the inhalation of amyl nitrite in 17 patients (group 1) selected for auscultatory evidence of mitral valve prolapse (MVP) b...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.82.2.158

    authors: Noble LM,Dabestani A,Child JS,Krivokapich J

    更新日期:1982-08-01 00:00:00

  • Lethal hemoptysis caused by biopsy injury of an abnormal bronchial artery.

    abstract::A 62-year-old man with a long history of lung disease developed atelectasis of the right middle lung lobe, caused by a protrusion in the wall of the middle lobe bronchus. A biopsy was performed in the suspicious region. This was immediately followed by massive arterial bleeding into the airways and complicated by card...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.119.5.1612

    authors: Maxeiner H

    更新日期:2001-05-01 00:00:00

  • Antitrypsin and chronic obstructive pulmonary disease among Japanese-American men.

    abstract::A total of 161 patients with chronic obstructive pulmonary disease (COPD) plus 100 control subjects (identified during a study of heart disease in 6,860 Japanese-American men aged 52 to 75 years who were residing in Hawaii) were analyzed for phenotype in search of the antitrypsin gene Z, which has been shown to be ass...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.72.4.489

    authors: Roberts A,Kagan A,Rhoads GG,Pierce JA,Bruce RM

    更新日期:1977-10-01 00:00:00

  • Intrapleural talc for the prevention of recurrent pneumothorax.

    abstract::The ipsilateral recurrence rate after the first spontaneous pneumothorax treated with tube thoracostomy is reported to be between 23 percent and 52 percent. The incidence of recurrence after the first recurrence is substantially higher. Chemical pleurodesis has been attempted to decrease the recurrence rate. Tetracycl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.4.1162

    authors: Milanez JR,Vargas FS,Filomeno LT,Fernandez A,Jatene A,Light RW

    更新日期:1994-10-01 00:00:00

  • COPD-OSA Overlap Syndrome: Evolving Evidence Regarding Epidemiology, Clinical Consequences, and Management.

    abstract::COPD and OSA are both highly prevalent, which implies that both disorders occurring together (overlap syndrome) is likely to be common based on chance association alone. However, different clinical COPD phenotypes influence the likelihood of coexisting OSA in that the increased lung volumes and low BMI associated with...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2017.04.160

    authors: McNicholas WT

    更新日期:2017-12-01 00:00:00

  • Mural endocarditis associated with recurrent false aneurysm of the left ventricle.

    abstract::Acute bacterial endocarditis developed in a 65-year-old man two years after surgical resection of a false aneurysm of the left ventricle. The patient had cerebral embolic manifestations, and coagulase-positive Staphylococcus aureus was cultured from each of six blood samples. A pericardial friction rub and a changing ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.71.2.227

    authors: Pitlik S,Cohen L,Melamed R,Rosenfeld J

    更新日期:1977-02-01 00:00:00

  • A 34-Year-Old Woman With Hoarseness of Voice and an Abnormal Echocardiogram.

    abstract:CASE PRESENTATION:A 34-year-old woman presented for evaluation of several months of a hoarse voice and dyspnea on exertion that progressed over the last 3 years. She had a clinical diagnosis of asthma that had been treated with bronchodilators and inhaled corticosteroids for a few years. She continued to use her inhale...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.01.021

    authors: Jalil BA,Smith JS,El-Kersh K

    更新日期:2019-06-01 00:00:00

  • Complications of flow-directed balloon-tipped catheters.

    abstract::Acute or short-term complications following the use of flow-directed balloon-tipped catheters are well recognized. Long-term sequelae are rarely reported. We report herein an early complication of pulmonary arterial rupture with infarction followed by the delayed development of a pulmonary arterial aneurysm. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.1.227

    authors: Smart FW,Husserl FE

    更新日期:1990-01-01 00:00:00

  • Effect of menthol cigarettes on biochemical markers of smoke exposure among black and white smokers.

    abstract:STUDY OBJECTIVES:Black smokers have been reported to have higher serum cotinine levels than do white smokers, and have higher rates of most smoking-related diseases, despite smoking fewer cigarettes per day. Another striking racial difference is the preference for mentholated cigarettes among black smokers. The contrib...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.110.5.1194

    authors: Clark PI,Gautam S,Gerson LW

    更新日期:1996-11-01 00:00:00

  • Limitations of the fast green assay for chemosensitivity testing in human lung cancer.

    abstract::Selection of patients with lung cancer who are most likely to benefit from chemotherapeutic treatment would be a substantial step forward. Therefore, a prospective study in predictive chemosensitivity testing in vitro using the fast green assay (FGA) as developed by Weisenthal et al was carried out. Sixty-six pretreat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.5.1358

    authors: Smit EF,de Vries EG,Meijer C,Mulder NH,Postmus PE

    更新日期:1991-11-01 00:00:00

  • Pneumonia due to Haemophilus influenzae among mechanically ventilated patients. Incidence, outcome, and risk factors.

    abstract::Incidence and potential risk factors for pneumonia due to Haemophilus influenzae in adults treated with mechanical ventilation in a medical-surgical ICU were investigated. Diagnosis was established in 91 episodes and H influenzae was isolated in 20 of them. Mean onset of ventilator-associated pneumonia (VAP) due to H ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.102.5.1562

    authors: Rello J,Ricart M,Ausina V,Net A,Prats G

    更新日期:1992-11-01 00:00:00

  • Repetitive ventricular fibrillation preceded by both ST segment depression and elevation during acute myocardial ischemia.

    abstract::A patient had repetitive ventricular fibrillation preceded by alternating ST segment depression and elevation. The ECG changes were confined to the precordial leads only, reflecting subendocardial and transmural ischemia, respectively. It is speculated that the patient exhibited consecutive episodes of subtotal and to...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.6.1296

    authors: Rechavia E,Sagie A,Kusniec J,Mager A,Sclarovsky S

    更新日期:1988-06-01 00:00:00

  • Optimizing coronary thrombolysis with i.v. administration of recombinant tissue plasminogen activator. Single bolus vs double bolus vs front-loading.

    abstract::This study was designed to compare the efficacy of coronary thrombolysis obtained with i.v. administration of three dose regimens of recombinant tissue plasminogen activator (rtPA). Although many studies have confirmed the efficacy of thrombolytic therapy in treatment of acute myocardial infarction, few prospective st...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.2.510

    authors: Prewitt RM,Schick U,Ducas J

    更新日期:1996-02-01 00:00:00

  • Endothelial dysfunction in children with obstructive sleep apnea is associated with epigenetic changes in the eNOS gene.

    abstract:BACKGROUND:Obstructive sleep apnea (OSA) is a highly prevalent disorder that has been associated with an increased risk for cardiovascular morbidity, even in children. However, not all children with OSA manifest alterations in endothelial postocclusive hyperemia, an endothelial nitric oxide synthase (eNOS)-dependent re...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-2026

    authors: Kheirandish-Gozal L,Khalyfa A,Gozal D,Bhattacharjee R,Wang Y

    更新日期:2013-04-01 00:00:00

  • Plug closure of patent ductus arteriosus by transfemoral catheter method. A comparative study with surgery and a new technical modification.

    abstract::Plug closure of patent ductus arteriosus without thoracotomy is reliable and can be a good alternative to surgical closure for selected patients. We report our experiences with plug closure in 87 consecutive patients (age range, 3 to 38 years). Closure was successful in 83 patients (95 percent). There has been no mort...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.70.5.631

    authors: Kitamura S,Sato K,Naito Y,Shimizu Y,Fujino M

    更新日期:1976-11-01 00:00:00

  • Crackles (rales) in the interstitial pulmonary diseases.

    abstract::There is renewed interest in the classification and methods of recording adventitious pulmonary sounds. This is a study of the importance of fine crackles (rales) in the diagnosis and estimation of the severity of diffuse infiltrative pulmonary disease. Among 272 cases documented by lung biopsy, bilateral fine crackle...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.73.3.333

    authors: Epler GR,Carrington CB,Gaensler EA

    更新日期:1978-03-01 00:00:00

  • Analysis of sequential aliquots of hypertonic saline solution-induced sputum from clinically stable patients with cystic fibrosis.

    abstract:STUDY OBJECTIVES:Sputum induction (SI) is a noninvasive tool for sampling inflamed airways. The purpose of this study was to determine the optimal duration of collection in patients with cystic fibrosis (CF). The hypothesis was that the duration of SI collection would quantitatively and qualitatively alter the content ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.3.792

    authors: Aitken ML,Greene KE,Tonelli MR,Burns JL,Emerson JC,Goss CH,Gibson RL

    更新日期:2003-03-01 00:00:00

  • Rheumatoid nodules in the trachea.

    abstract::We describe the first case of endotracheal rheumatoid nodules in a 45-year-old Chinese man with rheumatoid arthritis. He developed exacerbation of polyarthritis, new subcutaneous nodules and fibrosing alveolitis. At bronchoscopy, four whitish nodules were detected at the tracheal wall, and biopsy showed fibrinoid necr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.1.301

    authors: Ip MS,Wong MP,Wong KL

    更新日期:1993-01-01 00:00:00