Evidence map›Paper›PMID 29476798›Full record

ArticleJournal of pain and symptom management2018

Prevalence of Dyspnea Among Hospitalized Patients at the Time of Admission.

Jennifer P Stevens, Tenzin Dechen, Richard Schwartzstein, Carl O'Donnell, Kathy Baker, Michael D Howell, Robert B Banzett

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07701850 (The Influence of Standard Ventilator Setting Adjustments on Dyspnea Experienced in Awake Mechanically-ventilated Patients), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07701850 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Influence of Standard Ventilator Setting Adjustments on Dyspnea Experienced in Awake Mechanically-ventilated Patients: A Pilot Study

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2026 to 2027Enrolled20ConditionsRespiratory Failure, Dyspnea During Mechanical Ventilation, Mechanical VentilationArmsChange to VC/AC, Change in Tidal Volume, Change in inspiratory flow, Change in PEEP, Change to PSV
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  12. 'Medical education online · 2022
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  18. Underdetection and Undertreatment of Dyspnea in Critically Ill Patients.American journal of respiratory and critical care medicine · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jennifer P StevensCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; Division for Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. Electronic address: jpsteven@bidmc.harvard.edu.
Tenzin DechenCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Richard SchwartzsteinDivision for Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Carl O'DonnellDivision for Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Kathy BakerLois E. Silverman Department of Nursing, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Michael D HowellCenter for Healthcare Delivery Science and Innovation, University of Chicago Medicine, Chicago, Illinois, USA; Section of Pulmonary and Critical Care, University of Chicago, Chicago, Illinois, USA.
Robert B BanzettDivision for Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Beth Israel Deaconess Medical Center · USUniversity of Chicago · US

Funding

Quantifying a Vital Symptom: Large-scale Inpatient Dyspnea MeasurementR01NR010006 · NINR · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BANZETT, ROBERT B · 2007 to 2017
$4.0M
A multistakeholder examination of the drivers and value of inpatient consultationK08HS024288 · AHRQ · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STEVENS, JENNIFER P · 2016 to 2020
$752k
AHRQ HHS K08 HS024288NINR NIH HHS R01 NR010006
6 · The paper itself

Abstract

contextDyspnea is an uncomfortable and distressing sensation experienced by hospitalized patients.

objectivesThere is no large-scale study of the prevalence and intensity of patient-reported dyspnea at the time of admission to the hospital.

methodsBetween March 2014 and September 2016, we conducted a prospective cohort study among all consecutive hospitalized patients at a single tertiary care center in Boston, MA. During the first 12 hours of admission to medical-surgical and obstetric units, nurses at our institution routinely collect a patient's 1) current level of dyspnea on a 0-10 scale with 10 anchored at "unbearable," 2) worst dyspnea in the past 24 hours before arrival at the hospital on the same 0-10 scale, and 3) activities that were associated with dyspnea before admission. The prevalence of dyspnea was identified, and tests of difference were performed across patient characteristics.

resultsWe analyzed 67,362 patients, 12% of whom were obstetric patients. Fifty percent of patients were admitted to a medical-surgical unit after treatment in the emergency department. Among all noncritically ill inpatients, 16% of patients experienced dyspnea in the 24 hours before the admission. Twenty-three percent of patients admitted through the emergency department reported any dyspnea in the past 24 hours. Eleven percent experienced some current dyspnea when interviewed within 12 hours of admission with 4% of patients experiencing dyspnea that was rated 4 or greater. Dyspnea of 4 or more was present in 43% of patients admitted with respiratory diagnoses and 25% of patients with cardiovascular diagnoses. After multivariable adjustment for severity of illness and patient comorbidities, patients admitted on the weekend or during the overnight nursing shift were more likely to report dyspnea on admission.

conclusionDyspnea is a common symptom among all hospitalized patients. Routine documentation of dyspnea is feasible in a large tertiary care center.

Indexed as

Patient AdmissionAgedComorbidityDyspneaEmergency Medical ServicesFemaleHumansMaleMiddle AgedPainPrevalenceProspective StudiesRetrospective StudiesRisk FactorsSeverity of Illness IndexTime FactorsDyspneaprevalencesymptoms

Identifiers

PMID29476798
PMCPMC6317868
OpenAlexW2788625943

What OpenQuestion holds

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LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.