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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN 印刷: 0896-2960
ISSN オンライン: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v9.i3-4.50
pages 265-299

Dyspnoea and Disability: An Epidemiological Approach

Pascale Barberger-Gateau
INSERM U330, Universite Victor Segalen Bordeaux II, 146 rue Leo-Saignat, 33076 BORDEAUX CEDEX
Jean-Francois Tessier
INSERM U330, Universite Victor Segalen Bordeaux II, 146 rue Leo-Saignat, 33076 BORDEAUX CEDEX
Chakib Nejjari
INSERM U330, Universite Victor Segalen Bordeaux II, 146 rue Leo-Saignat, 33076 BORDEAUX CEDEX

要約

Dyspnoea is a frequent symptom at all ages. The main causes of dyspnoea are cardiovascular and respiratory diseases, in particular chronic obstructive pulmonary disease. Dyspnoea is associated with a wide range of activity limitation varying with breathlessness grade and the etiology of dyspnoea. Both measures of breathless-ness and physical function add distinct information in the process of assessment of disease in dyspneic patients. Dyspnoea is also a predictor of subsequent disability and mortality and could be a clinical marker of lung aging. The specific role of dyspnoea as a disabling factor must be isolated from that of psychosocial factors present in many chronic diseases. Dyspnoea-specific as well as disease-specific measures of functional impairment must be used in studies of the relationship of dyspnoea to disability. Longitudinal studies are needed to assess the impact of dyspnoea in the disablement process and in the pathways from disability to death. Functional status should be used as an outcome measure in interventions against dyspnoea.