Evidence map›Paper›PMID 29577043›Full record

ArticleERJ open research2018

Multidimensional fatigue in pulmonary hypertension: prevalence, severity and predictors.

Todd M Tartavoulle, Aryn C Karpinski, Andrew Aubin, Benzi M Kluger, Oliver Distler, Lesley Ann Saketkoo

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. The effect of graded exercise therapy on fatigue in people with serious respiratory illness: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  3. Article
  4. Article
  5. Fatigue in adults with congenital heart disease aged over 40 years.International journal of cardiology. Congenital heart disease · 2025
    Article
  6. Article
  7. Relationships that perceived barriers to physical activity have with functional capacity and quality of life in patients with pulmonary hypertension.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Observational
  8. Evidence-based management of symptoms in serious respiratory illness: what is in our toolbox?European respiratory review : an official journal of the European Respiratory Society · 2024
    Article
  9. Article
  10. Development of a Physical Therapy-Based Exercise Program for Adults with Down Syndrome.International journal of environmental research and public health · 2023
    Review
  11. Multidimensional fatigue in patients with nasopharyngeal carcinoma receiving concurrent chemoradiotherapy: incidence, severity, and risk factors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  12. Article
  13. Article
  14. Article
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

6 authors at 5 institutions in 2 countries.

Todd M TartavoulleSchool of Nursing, Louisiana State University Health Sciences Center - New Orleans, New Orleans, LA, USA.
Aryn C KarpinskiEvaluation and Measurement, School of Foundations, Leadership and Administration, Kent State University, Kent, OH, USA.
Andrew AubinSchool of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
Benzi M KlugerDept of Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Oliver DistlerDept of Rheumatology, University Hospital Zurich, Zurich, Switzerland.
Lesley Ann SaketkooNew Orleans Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA, USA.
Louisiana State University Health Sciences Center New Orleans · USKent State University · USTulane University · USUniversity Hospital of Zurich · CHUniversity of Colorado Anschutz Medical Campus · US

Funding

LSUHSC Summer Internship ProgramT35HL105350 · NHLBI · LSU HEALTH SCIENCES CENTER · PI GREGORY, PAULA ELIZABETH · 2011 to 2015
$119k
NHLBI NIH HHS T35 HL105350
6 · The paper itself

Abstract

Pulmonary hypertension is a potentially fatal disease. Despite pharmacological advances in pulmonary hypertension, fatigue remains common in patients with pulmonary hypertension. A convenience sample of 120 participants at an international patient conference completed the Multidimensional Fatigue Inventory (MFI)-20 scale. Data on New York Heart Association Functional Class, body mass index, oxygen use and medication type/use were also collected. There was a high prevalence of "severe" to "very severe" fatigue for each dimension: General Fatigue (60%), Physical Fatigue (55.8%), Reduced Activity (41.7%), Reduced Motivation (32.5%) and Mental Fatigue (27.5%). The mean±sd overall MFI-20 score was 58±5.1. Dimensions with the highest averaged levels were General Fatigue (13.40±3.61), Physical Fatigue (13.23±3.67) and Reduced Activity (11.33±4.16). Body mass index correlated with higher fatigue scores. Phosphodiesterase inhibitor plus endothelin receptor antagonist combination negatively predicted General Fatigue, Physical Fatigue, Reduced Motivation and Reduced Activity. Triple therapy was a significant predictor of General Fatigue, Physical Fatigue and Reduced Activity. There were no significant predictors of Mental Fatigue. Multidimensional fatigue is common and severe in patients with pulmonary hypertension. Phosphodiesterase inhibitor plus endothelin receptor antagonist combination resulted in lower scores in most fatigue dimensions. Comprehensive assessment of fatigue should be considered in the clinical care of patients with pulmonary hypertension and clinical research to develop formal interventions that target this disabling symptom.

Identifiers

PMID29577043
PMCPMC5864970
OpenAlexW2793664992

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.