Percepción de la disnea durante la broncoconstricción aguda en los pacientes con asma
Asthma patients' perception of dyspnea during acute bronchoconstriction
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Alemany Francés, S. Moreno Guillén, J.M. Sánchez Nieto" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.L." "apellidos" => "Alemany Francés" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Moreno Guillén" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Sánchez Nieto" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753241?idApp=UINPBA00003Z" "url" => "/03002896/0000003900000002/v1_201307081521/S0300289603753241/v1_201307081521/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Percepción de la disnea durante la broncoconstricción aguda en los pacientes con asma" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "67" "paginaFinal" => "73" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "E. Martínez-Moragón, M. Perpiñá, A. Belloch, A. De Diego, M.E. Martínez-Francés" "autores" => array:5 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Martínez-Moragón" "email" => array:1 [ 0 => "emm01v@nacom.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Perpiñá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Belloch" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "De Diego" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "M.E." "apellidos" => "Martínez-Francés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología. Hospital de Sagunto. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología. Hospital Universitario La Fe. Valencia. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Personalidad, Evaluación y Tratamientos Psicológicos. Facultad de Psicología. Universidad de Valencia. España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Avda. Pérez Galdós, 12–10. 46007 Valencia. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Asthma patients' perception of dyspnea during acute bronchoconstriction" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-02-07" "fechaAceptado" => "2002-08-28" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190526" "palabras" => array:5 [ 0 => "Disnea" 1 => "Asma" 2 => "Percepción" 3 => "Broncoconstricción aguda" 4 => "Histamina" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190525" "palabras" => array:5 [ 0 => "Dyspnea" 1 => "Asthma" 2 => "Perception" 3 => "Acute bronchocons-triction" 4 => "Histamine" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo del estudio fue analizar las variaciones de la percepción de obstrucción bronquial aguda en los asmáticos de nuestra población e intentar definir las variables que condicionan dichas diferencias interindividuales. Se estudió a 153 asmáticos en situación estable, midiendo la disnea que percibían en una escala de Borg durante la realización de una prueba de provocación bronquial con histamina. Para el análisis de la percepción individual se valoraron tanto la PS20 (disnea en la escala de Borg al caer el FEV 1 un 20%) como la diferencia matemática entre la PS20 y la disnea ba-sal (”cambio en Borg“ [CB]). Según nuestros resultados: a) el conjunto de factores que determinan la PS20 (regresión li-neal múltiple) ha sido la ansiedad, la disnea basal y la PC20; b) dentro de cada grupo de gravedad de asma existen dife-rencias en la disnea percibida cuando el FEV 1 desciende un 20% (análisis de la varianza de medidas repetidas), de modo que los pacientes con asma leve y sin obstrucción bronquial perciben más el cambio de disnea; c) el análisis del CB du-rante la prueba de provocación bronquial nos ha permitido distinguir 4 formas de percibir la disnea: un 15% de los pa-cientes son disperceptores, un 13% hipoperceptores, un 48% normoperceptores y el 24% hiperperceptores; d) los hipoperceptores y disperceptores tienen mayor riesgo de agudizaciones graves, mientras que los hiperperceptores ge-neran innecesarias consultas médicas, y e) los grupos con una peor calidad de vida son los disperceptores, seguidos de los hiperperceptores</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En conclusión, un elevado porcentaje de asmáticos no per-cibe de forma adecuada la obstrucción bronquial aguda, y el método sencillo de conocer cómo es dicha percepción consis-te en calcular su cambio de disnea (en la escala de Borg) du-rante una prueba de provocación bronquial. La forma de percibir la disnea no puede inferirse de antemano y tiene re-percusiones importantes, entre otras, en la utilización de re-cursos médicos y en la calidad de vida de los pacientes</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to analyze variations in the per-ception of acute bronchial obstruction among asthmatics in our practice and to try to define the variables that influence inter-individual differences. We studied 153 asthmatics in stable condition, using a Borg scale to measure dyspnea per-ceived during a histamine bronchial challenge test. To study individual perception we analyzed both absolute magnitude of perception of dyspnea on the Borg scale when forced ex-piratory volume in 1 second (FEV1) fell 20% (perception score 20-PS20) and the mathematical difference between PS20 and baseline dyspnea (change in Borg, CB). The re-sults were as follows. 1) The factors that affected PS20 ac-cording to multiple linear regression were anxiety, baseline dyspnea and the provocative concentration required to pro-duce a 20% fall in FEV1 (PC20). 2) Within each level of asthma severity, there were differences in dyspnea percep-tion when FEV1 fell 20% (analysis of variance of repeated measures), such that patients with mild asthma and no bronchial obstruction perceived more change in dyspnea. 3) CB during the bronchial challenge test distinguished four ways of perceiving dyspnea: 15% were dysperceivers, 13% were hypoperceivers, 48% were normoperceivers and 24% were hyperperceivers. 4) Hypoperceivers and dysperceivers were at greater risk of severe exacerbation whereas hyper-perceivers requested unnecessary medical consultations. 5) Subjects with poorer quality of life were usually dyspercei-vers; hyperperceivers were the second most common type among those with poorer quality of life</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In conclusion, a large percentage of asthmatics do not ap-propriately perceive acute bronchial obstruction, and the simplest way to evaluate their perception is to calculate the change in dyspnea (on a Borg scale) during the bronchial challenge test. The manner of perceiving dyspnea can not be predicted beforehand, yet it has a significant impact on the use of medical resources and patient quality of life, among other aspects</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Perception of asthma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.R. Rubinfeld" 1 => "M.C.F. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 1 | 2 | 3 |
| 2024 October | 46 | 20 | 66 |
| 2024 September | 41 | 22 | 63 |
| 2024 August | 49 | 51 | 100 |
| 2024 July | 38 | 23 | 61 |
| 2024 June | 70 | 30 | 100 |
| 2024 May | 61 | 39 | 100 |
| 2024 April | 37 | 31 | 68 |
| 2024 March | 54 | 39 | 93 |
| 2024 February | 29 | 35 | 64 |
| 2024 January | 0 | 1 | 1 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 7 | 7 |
| 2023 September | 0 | 8 | 8 |
| 2023 August | 0 | 2 | 2 |
| 2023 July | 0 | 24 | 24 |
| 2023 March | 3 | 1 | 4 |
| 2023 February | 33 | 15 | 48 |
| 2023 January | 23 | 37 | 60 |
| 2022 December | 35 | 32 | 67 |
| 2022 November | 41 | 14 | 55 |
| 2022 October | 27 | 24 | 51 |
| 2022 September | 27 | 21 | 48 |
| 2022 August | 57 | 36 | 93 |
| 2022 July | 44 | 42 | 86 |
| 2022 June | 69 | 29 | 98 |
| 2022 May | 36 | 27 | 63 |
| 2022 April | 32 | 27 | 59 |
| 2022 March | 45 | 28 | 73 |
| 2022 February | 32 | 20 | 52 |
| 2022 January | 42 | 29 | 71 |
| 2021 December | 17 | 42 | 59 |
| 2021 November | 32 | 35 | 67 |
| 2021 October | 39 | 47 | 86 |
| 2021 September | 32 | 49 | 81 |
| 2021 August | 36 | 36 | 72 |
| 2021 July | 36 | 28 | 64 |
| 2021 June | 41 | 33 | 74 |
| 2021 May | 68 | 35 | 103 |
| 2021 April | 147 | 54 | 201 |
| 2021 March | 63 | 35 | 98 |
| 2021 February | 40 | 16 | 56 |
| 2021 January | 30 | 26 | 56 |
| 2020 December | 44 | 23 | 67 |
| 2020 November | 19 | 14 | 33 |
| 2020 October | 37 | 14 | 51 |
| 2020 September | 15 | 7 | 22 |
| 2020 August | 25 | 7 | 32 |
| 2020 July | 29 | 23 | 52 |
| 2020 June | 20 | 5 | 25 |
| 2020 May | 28 | 24 | 52 |
| 2020 April | 45 | 9 | 54 |
| 2020 March | 31 | 20 | 51 |
| 2020 February | 36 | 22 | 58 |
| 2020 January | 48 | 35 | 83 |
| 2019 December | 31 | 34 | 65 |
| 2019 November | 28 | 12 | 40 |
| 2019 October | 23 | 15 | 38 |
| 2019 September | 25 | 17 | 42 |
| 2019 August | 18 | 8 | 26 |
| 2019 July | 45 | 37 | 82 |
| 2019 June | 32 | 31 | 63 |
| 2019 May | 31 | 68 | 99 |
| 2019 April | 80 | 52 | 132 |
| 2019 March | 28 | 30 | 58 |
| 2019 February | 18 | 13 | 31 |
| 2019 January | 23 | 12 | 35 |
| 2018 December | 21 | 23 | 44 |
| 2018 November | 40 | 18 | 58 |
| 2018 October | 52 | 16 | 68 |
| 2018 September | 23 | 9 | 32 |
| 2018 May | 8 | 1 | 9 |
| 2018 April | 11 | 3 | 14 |
| 2018 March | 5 | 10 | 15 |
| 2018 February | 10 | 12 | 22 |
| 2018 January | 8 | 8 | 16 |
| 2017 December | 12 | 15 | 27 |
| 2017 November | 10 | 13 | 23 |
| 2017 October | 9 | 10 | 19 |
| 2017 September | 10 | 12 | 22 |
| 2017 August | 6 | 7 | 13 |
| 2017 July | 15 | 11 | 26 |
| 2017 June | 20 | 34 | 54 |
| 2017 May | 15 | 11 | 26 |
| 2017 April | 8 | 11 | 19 |
| 2017 March | 10 | 26 | 36 |
| 2017 February | 6 | 10 | 16 |
| 2017 January | 14 | 16 | 30 |
| 2016 December | 39 | 17 | 56 |
| 2016 November | 46 | 25 | 71 |
| 2016 October | 52 | 36 | 88 |
| 2016 September | 58 | 36 | 94 |
| 2016 August | 37 | 9 | 46 |
| 2016 July | 50 | 6 | 56 |
| 2016 June | 46 | 11 | 57 |
| 2016 May | 35 | 7 | 42 |
| 2016 April | 30 | 3 | 33 |
| 2016 March | 32 | 3 | 35 |
| 2016 February | 35 | 3 | 38 |
| 2016 January | 43 | 18 | 61 |
| 2015 December | 39 | 17 | 56 |
| 2015 November | 49 | 11 | 60 |
| 2015 October | 67 | 1 | 68 |
| 2015 September | 60 | 0 | 60 |
| 2015 August | 57 | 0 | 57 |
| 2015 July | 58 | 0 | 58 |
| 2015 June | 60 | 0 | 60 |
| 2015 May | 81 | 0 | 81 |
| 2015 April | 71 | 0 | 71 |
| 2015 March | 82 | 0 | 82 |
| 2015 February | 50 | 0 | 50 |
| 2015 January | 54 | 0 | 54 |
| 2014 December | 46 | 0 | 46 |
| 2014 November | 49 | 0 | 49 |
| 2014 October | 71 | 0 | 71 |
| 2014 September | 53 | 0 | 53 |
| 2014 August | 43 | 0 | 43 |
| 2014 July | 55 | 0 | 55 |
| 2014 June | 104 | 0 | 104 |
| 2014 May | 92 | 0 | 92 |
| 2014 April | 70 | 0 | 70 |
| 2014 March | 102 | 0 | 102 |
| 2014 February | 72 | 0 | 72 |
| 2014 January | 58 | 0 | 58 |
| 2013 December | 60 | 0 | 60 |
| 2013 November | 56 | 0 | 56 |
| 2013 October | 83 | 0 | 83 |
| 2013 September | 52 | 0 | 52 |
| 2013 August | 90 | 0 | 90 |
| 2013 July | 61 | 0 | 61 |
| 2013 June | 36 | 0 | 36 |
| 2013 May | 67 | 0 | 67 |
| 2013 April | 41 | 0 | 41 |
| 2013 March | 16 | 0 | 16 |
| 2000 January | 5551 | 0 | 5551 |
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