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How Can We Assess the Perception of Induced Dyspnea in Chronic Obstructive Pulmonary Disease?
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"tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "149" "paginaFinal" => "154" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.E. Martínez Francés, M. Prpiñá Tordera, A. Belloch Fuster, E.M. Martínez Moragón, A. de Diego Damiáa" "autores" => array:5 [ 0 => array:4 [ "preGrado" => "Dra" "nombre" => "M.E." "apellidos" => "Martínez Francés" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Prpiñá Tordera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Belloch Fuster" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "E.M." "apellidos" => "Martínez Moragón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "de Diego Damiáa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario La Fe, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Departamento de Personalidad, Universidad de Valencia, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital Comarcal de Sagunto, Sagunto, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dra. M.E. Martínez Francés. Servicio de Neumología. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-07-01" "fechaAceptado" => "2003-11-18" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec153350" "palabras" => array:4 [ 0 => "Perception" 1 => "Dyspnea" 2 => "Chronic obstructive pulmonary disease" 3 => "Bronchial challenge test" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153351" "palabras" => array:3 [ 0 => "Percepción. Disnea" 1 => "Enfermedad pulmonar obs-tructiva crónica" 2 => "Prueba de provocación bronquila" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO evaluate various methods for studying the perception of dyspnea in chronic obstructive pulmonary disease (COPD) using a new parameter, the change in Borg scale rating, and others already in use: the linear regression slope and the application of Stevens' law to the response-perception curve-ie change in forced expiratory volume in 1 second (ΔFEV<span class="elsevierStyleInf">1</span>)-change in dyspnea (Adyspnea).</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p class="elsevierStyleSimplePara elsevierViewall">A bronchial challenge test was performed on 70 patients with stable COPD and no contraindications for performing the test (European Respiratory Society criteria), during which dyspnea was measured (Borg scale) after each nebulization. Perception was analyzed using: <span class="elsevierStyleItalic">a</span>) the linear regression slope of ΔFEV<span class="elsevierStyleInf">1</span> plotted against (Adyspnea); <span class="elsevierStyleItalic">b</span>) the exponent n of Stevens' law (ψ=kΨn, in which ψ is Δdyspnea and Ψis AFEV<span class="elsevierStyleInf">1</span>, with perception being poor when n<1 and good when n>1), and <span class="elsevierStyleItalic">c</span>) change in Borg: difference between dyspnea when FEV<span class="elsevierStyleInf">1</span> has fallen 20% and dyspnea after saline inhalation. Subjects were classified according to the slope and change in Borg as hypoperceivers, normal perceivers, or hyperperceivers. These 2 methods of classification were compared using the κ statistic.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">According to the exponent n, all patients were hypoperceivers (n<1). According to the slope, there were 33 hypoperceivers, 28 normal perceivers, and 9 hyperperceivers. The change in Borg classified 37 subjects as hypoperceivers, 23 as normal perceivers, and 10 as hyperperceivers. All except 5 subjects were classified in the same way by the slope and the change in Borg (κ=0.88). In most of the 5 cases of discrepancy, the slope classified subjects as better perceivers.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The n exponent is not valid for evaluating the perception of dyspnea induced by a bronchial challenge test in COPD. Change in Borg is at least as useful as the slope for evaluating perception of dyspnea. The percentage of patients with this disease who are hyperperceivers is high.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Valorar varios métodos para el estudio de la percepción de la disnea en la enfermedad pulmonar obstructiva crónica (EPOC) usando un nuevo parámetro, el cambio en Borg (CB), y otros ya utilizados: la pendiente de la regresión lineal y la aplicación de la ley de Stevens a la curva respuesta-percepción -cambios en el volumen espiratorio forzado en el primer segundo (ΔFEV<span class="elsevierStyleInf">1</span>)-cambio en la disnea (Δdisnea).</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realizó un test de broncoprovocación a 70 pacientes con EPOC estable, sin contraindi-caciones para dicha prueba (criterios de la European Respiratory Society), durante el que se midió la disnea (escala de Borg) después de cada nebulización. La percepción se analizó mediante: <span class="elsevierStyleItalic">a</span>) la pendiente de la regresión lineal entre ΔFEV<span class="elsevierStyleInf">1</span> y Adisnea; <span class="elsevierStyleItalic">b</span>) el exponente n de la ley de Stevens (ψ = kΨ<span class="elsevierStyleSup">n</span>, donde ψ es Δdisnea y ψ es ΔFEV<span class="elsevierStyleInf">1</span>; cuan-do n < 1, la percepción es mala, y cuando n > 1, buena), y <span class="elsevierStyleItalic">c</span>) el CB: diferencia entre la disnea cuando el FEV<span class="elsevierStyleInf">1</span> ha caí-do un 20% y la disnea tras inhalación de salino. Se clasificó a los sujetos según la pendiente y el CB en hipoperceptores (HPO), normoperceptores (NP) e hiperperceptores (HPR). Se compararon ambas clasificaciones mediante el estadístico kappa.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Según el exponente n todos los pacientes fueron HPO (n < 1). Según la pendiente hubo 33 HPO, 28 NP y 9 HPR. El CB clasificó como HPO a 37 sujetos, como NP a 23 y como HPR a 10. La pendiente y el CB clasificaron igual a to-dos, excepto a 5 sujetos (kappa = 0,88). En la mayoría de casos discordantes, la pendiente clasificó a los sujetos como mejor perceptores.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">El coeficiente n no es válido para estudiar la percepción de la disnea inducida mediante test de bronco-provocación en la EPOC. El CB es, al menos, tan útil como la pendiente para estos estudios. La proporción de HPO entre los pacientes con dicha enfermedad es elevada.</p>" ] ] "NotaPie" => array:1 [ 0 => array:1 [ "nota" => "<p class="elsevierStyleNotepara">This study was partially subsidized by a grant from Red Respira RTIC 03/11 ISCIII</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mechanisms of dyspnea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "HL Manning" 1 => "RM Schwartzstein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Dyspnea" "paginaInicial" => "63" "paginaFinal" => "95" "serieFecha" => "1998" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 2 | 6 |
| 2024 October | 28 | 22 | 50 |
| 2024 September | 26 | 24 | 50 |
| 2024 August | 40 | 46 | 86 |
| 2024 July | 19 | 20 | 39 |
| 2024 June | 29 | 17 | 46 |
| 2024 May | 29 | 18 | 47 |
| 2024 April | 18 | 21 | 39 |
| 2024 March | 16 | 16 | 32 |
| 2024 February | 18 | 23 | 41 |
| 2023 March | 1 | 2 | 3 |
| 2023 February | 14 | 20 | 34 |
| 2023 January | 16 | 30 | 46 |
| 2022 December | 19 | 33 | 52 |
| 2022 November | 24 | 19 | 43 |
| 2022 October | 18 | 31 | 49 |
| 2022 September | 13 | 25 | 38 |
| 2022 August | 18 | 31 | 49 |
| 2022 July | 13 | 40 | 53 |
| 2022 June | 19 | 33 | 52 |
| 2022 May | 15 | 29 | 44 |
| 2022 April | 21 | 23 | 44 |
| 2022 March | 19 | 27 | 46 |
| 2022 February | 12 | 53 | 65 |
| 2022 January | 23 | 38 | 61 |
| 2021 December | 14 | 48 | 62 |
| 2021 November | 14 | 48 | 62 |
| 2021 October | 16 | 41 | 57 |
| 2021 September | 17 | 51 | 68 |
| 2021 August | 5 | 27 | 32 |
| 2021 July | 11 | 36 | 47 |
| 2021 June | 12 | 33 | 45 |
| 2021 May | 13 | 21 | 34 |
| 2021 April | 17 | 57 | 74 |
| 2021 March | 22 | 20 | 42 |
| 2021 February | 12 | 18 | 30 |
| 2021 January | 5 | 20 | 25 |
| 2020 December | 10 | 11 | 21 |
| 2020 November | 8 | 17 | 25 |
| 2020 October | 5 | 10 | 15 |
| 2020 September | 13 | 7 | 20 |
| 2020 August | 16 | 12 | 28 |
| 2020 July | 15 | 13 | 28 |
| 2020 June | 8 | 6 | 14 |
| 2020 May | 31 | 21 | 52 |
| 2020 April | 21 | 12 | 33 |
| 2020 March | 34 | 19 | 53 |
| 2020 February | 68 | 14 | 82 |
| 2020 January | 49 | 16 | 65 |
| 2019 December | 33 | 14 | 47 |
| 2019 November | 16 | 9 | 25 |
| 2019 October | 17 | 8 | 25 |
| 2019 September | 67 | 11 | 78 |
| 2019 August | 14 | 10 | 24 |
| 2019 July | 11 | 15 | 26 |
| 2019 June | 5 | 7 | 12 |
| 2019 May | 12 | 11 | 23 |
| 2019 April | 25 | 37 | 62 |
| 2019 March | 14 | 18 | 32 |
| 2019 February | 6 | 7 | 13 |
| 2019 January | 4 | 8 | 12 |
| 2018 December | 9 | 15 | 24 |
| 2018 November | 18 | 8 | 26 |
| 2018 October | 15 | 13 | 28 |
| 2018 September | 16 | 16 | 32 |
| 2018 May | 6 | 0 | 6 |
| 2018 April | 3 | 3 | 6 |
| 2018 March | 4 | 3 | 7 |
| 2018 February | 3 | 7 | 10 |
| 2018 January | 3 | 6 | 9 |
| 2017 December | 3 | 4 | 7 |
| 2017 November | 3 | 5 | 8 |
| 2017 October | 5 | 10 | 15 |
| 2017 September | 3 | 13 | 16 |
| 2017 August | 7 | 19 | 26 |
| 2017 July | 4 | 7 | 11 |
| 2017 June | 7 | 11 | 18 |
| 2017 May | 7 | 15 | 22 |
| 2017 April | 3 | 6 | 9 |
| 2017 March | 0 | 25 | 25 |
| 2017 February | 1 | 3 | 4 |
| 2017 January | 1 | 7 | 8 |
| 2016 December | 10 | 8 | 18 |
| 2016 November | 9 | 6 | 15 |
| 2016 October | 13 | 14 | 27 |
| 2016 September | 11 | 17 | 28 |
| 2016 August | 8 | 7 | 15 |
| 2016 July | 10 | 4 | 14 |
| 2016 March | 3 | 0 | 3 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 31 | 1 | 32 |
| 2015 September | 20 | 3 | 23 |
| 2015 August | 27 | 9 | 36 |
| 2015 July | 26 | 5 | 31 |
| 2015 June | 23 | 3 | 26 |
| 2015 May | 48 | 13 | 61 |
| 2015 April | 29 | 5 | 34 |
| 2015 March | 43 | 6 | 49 |
| 2015 February | 26 | 3 | 29 |
| 2015 January | 20 | 4 | 24 |
| 2014 December | 20 | 3 | 23 |
| 2014 November | 16 | 4 | 20 |
| 2014 October | 34 | 10 | 44 |
| 2014 September | 32 | 4 | 36 |
| 2014 August | 27 | 12 | 39 |
| 2014 July | 20 | 5 | 25 |
| 2014 June | 36 | 4 | 40 |
| 2014 May | 37 | 9 | 46 |
| 2014 April | 45 | 4 | 49 |
| 2014 March | 55 | 5 | 60 |
| 2014 February | 41 | 8 | 49 |
| 2014 January | 26 | 8 | 34 |
| 2013 December | 44 | 11 | 55 |
| 2013 November | 28 | 6 | 34 |
| 2013 October | 34 | 8 | 42 |
| 2013 September | 31 | 9 | 40 |
| 2013 August | 25 | 10 | 35 |
| 2013 July | 35 | 12 | 47 |
| 2013 June | 34 | 6 | 40 |
| 2013 May | 33 | 6 | 39 |
| 2013 April | 11 | 3 | 14 |
| 2013 March | 7 | 1 | 8 |
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