Observational studyBMC pulmonary medicine2025
Is 'better' enough? Prevalence and multidimensional portrait of persistent dyspnea upon discharge from a respiratory medicine ward: a prospective, single-center observational study.
Observational study in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors.
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Abstract
backgroundDuring unplanned respiratory-related hospitalizations, gradual improvement in physiological variables and reduced dependence on treatment are crucial for discharge decisions, possibly supported by discharge care bundles designed to reduce post-hospitalization readmission and mortality. However, patients prioritize symptom relief. This study tested the hypothesis that a significant proportion of patients admitted to a pulmonology ward for an acute respiratory episode experience dyspnea on the day of discharge. It further aimed to describe this dyspnea in a multidimensional manner.
methodsThis 10-week prospective study was conducted at a single center and included patients admitted for acute respiratory conditions such as COPD or asthma exacerbation, pneumonia, pulmonary embolism, or pleural disease, who, on admission, reported a rating of 3 or higher on the "immediate breathing discomfort" item of the Multidimensional Dyspnea Profile (MDP-A1). Dyspnea was assessed both at admission and at discharge using a multidimensional recall-based tool (MDP) and an instant unidimensional tool, the 10-cm visual analog scale (D-VAS).
resultsSeventy consecutive patients were included in the study. Although dyspnea ratings showed a statistically significant decrease during the hospital stay, dyspnea remained both frequent and intense at discharge. At discharge, 84% of patients provided MDP-A1 recall ratings above 0, with 70% rating their MDP-A1 at 3 or more. In contrast, only 22% provided D-VAS instant ratings of 3 or higher. The median MDP-A1 score was 4.0 [2.0-6.0]. "Air hunger" was the most frequently selected sensory descriptor.
conclusionsPersistent dyspnea remains frequent and intense among patients being discharged after an acute respiratory episode.
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