Simon, S. T., Altfelder, N., Alt-Epping, B., Bausewein, C., Weingaertner, V., Voltz, R., Ostgathe, C., Radbruch, L., Lindena, G. and Nauck, F. (2017). Characteristics of Patients with Breathlessness Results of the German Hospice and Palliative Care Evaluation. Pneumologie, 71 (1). S. 40 - 48. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8790

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Abstract

Background Breathlessness is a common and distressing symptom in patients with advanced life-limiting disease. The aim of this study was to describe demographical and clinical characteristics of patients with breathlessness in Germany. Methods We conducted a secondary analysis of hospice and palliative care inpatient data from 2006 to 2008. The Hospice and Palliative Care Evaluation (HOPE) is an annual prospective German survey, that includes a validated 16-item symptom-and-problem checklist (severity score 0 - 3). Characteristics of patients with or without breathlessness were compared in a pure descriptive manner. Interpretation of given p-values takes the error inflation due to multiple testing into account. Results Breathlessness was recorded in 2860/5320 (53.8%) patients (mean age 67.2 years (SD 12.4), 51.4% female, 93.6% malignant disease (female/male lung cancer 15.7/29.5%, breast cancer 20.3/0.3 %, colon 10.3/8.7%). Breathless patients compared with those without breathless ness had a significantly worse functional status (ECOG 3 - 4: 78.4% vs. 70.8 %, p < 0.001), suffered from a larger number (11.1 vs. 9.5, p < 0.001) of symptoms and the symptoms were of higher intensity (except confusion). Breathless patients had a higher risk to die during inpatient stay (43.5% vs. 32.4 %, p < 0.001). Conclusion Based on this large sample of hospice and palliative care inpatients, breathlessness is associated with a high symptom burden and shortened survival. Breathless patients need more attention in health care.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Simon, S. T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Altfelder, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alt-Epping, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bausewein, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weingaertner, V.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Voltz, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ostgathe, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Radbruch, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lindena, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nauck, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-247167
DOI: 10.1055/s-0042-112837
Journal or Publication Title: Pneumologie
Volume: 71
Number: 1
Page Range: S. 40 - 48
Date: 2017
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1438-8790
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CELL LUNG-CANCER; OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; SYMPTOM BURDEN; DYSPNEA; PREVALENCE; MORTALITY; VALIDATION; PEOPLE; DRUGSMultiple languages
Respiratory SystemMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/24716

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