The five-point Likert scale for dyspnea can properly assess the degree of pulmonary congestion and predict adverse events in heart failure outpatients

Weber, Cristina Klein; Miglioranza, Marcelo Haertel; Moraes, Maria Antonieta; Sant’Anna, Roberto T.; Rover, Marciane Maria; Kalil, Renato A. K.; Leiria, Tiago Luiz Luz

doi:10.6061/clinics/2014(05)08

Cited by 24 publications

(19 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The answers were in a check box format, allowing 1-answer responses. Four questions were posed on a 1 to 5 Likert response scale, with 1 corresponding to “low” and 5 corresponding to “high.” 18 , 19 For analysis, these responses were grouped using the following categories: 1 to 2, 3, and 4 to 5.…”

Section: Methodsmentioning

confidence: 99%

Innovative Informatics Approaches for Peripheral Artery Disease: Current State and Provider Survey of Strategies for Improving Guideline-Based Care

Chaudhry

Afzal

Abidian

et al. 2018

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

View full text Add to dashboard Cite

Objective To quantify compliance with guideline recommendations for secondary prevention in peripheral artery disease (PAD) using natural language processing (NLP) tools deployed to an electronic health record (EHR) and investigate provider opinions regarding clinical decision support (CDS) to promote improved implementation of these strategies. Patients and Methods Natural language processing was used for automated identification of moderate to severe PAD cases from narrative clinical notes of an EHR of patients seen in consultation from May 13, 2015, to July 27, 2015. Guideline-recommended strategies assessed within 6 months of PAD diagnosis included therapy with statins, antiplatelet agents, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and smoking abstention. Subsequently, a provider survey was used to assess provider knowledge regarding PAD clinical practice guidelines, comfort in recommending secondary prevention strategies, and potential role for CDS. Results Among 73 moderate to severe PAD cases identified by NLP, only 12 (16%) were on 4 guideline-recommended strategies. A total of 207 of 760 (27%) providers responded to the survey; of these 141 (68%) were generalists and 66 (32%) were specialists. Although 183 providers (88%) managed patients with PAD, 51 (25%) indicated they were uncomfortable doing so; 138 providers (67%) favored the development of a CDS system tailored for their practice and 146 (71%) agreed that an automated EHR-derived mortality risk score calculator for patients with PAD would be helpful. Conclusion Natural language processing tools can identify cases from EHRs to support quality metric studies. Findings of this pilot study demonstrate gaps in application of guideline-recommended strategies for secondary risk prevention for patients with moderate to severe PAD. Providers strongly support the development of CDS systems tailored to assist them in providing evidence-based care to patients with PAD at the point of care.

show abstract

Section: Methodsmentioning

confidence: 99%

Innovative Informatics Approaches for Peripheral Artery Disease: Current State and Provider Survey of Strategies for Improving Guideline-Based Care

Chaudhry

Afzal

Abidian

et al. 2018

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

View full text Add to dashboard Cite

show abstract

“…A higher degree of dyspnea (3 or 4 points on the 5-point Likert scale) significantly correlated with a higher number of BLA. A symptom scale with BLA assessment could help distinguish patients in the same functional class and predict clinical outcomes during follow up [49].…”

Section: Geriatric Patientsmentioning

confidence: 99%

Lung artefacts and their use

Dietrich

Mathis²,

Blaivas

et al. 2016

Med Ultrason

View full text Add to dashboard Cite

IntroductionIn years gone by examination of patients with pulmonary disorders rested essentially on a clinician's bedside physical examination, of auscultation and percussion, complimented with blood gas analysis and X-ray imaging. Lung ultrasound has emerged into this context as a real-time bedside procedure, delivering information relevant to the clinician's differential diagnosis. A large part of sonographic lung examination involves the interpretation of artefacts, thus knowledge of the origin of typical artefacts is important. Although indirect sonographic signs, nonetheless reliable conclusions on the condition of the lung can be inferred. Particularly the of quantity and distribution of B-lines can establish important assessment of the cause and degree of fluid load within the interstitium.All focused ultrasound investigations, including bedside lung ultrasound, allow symptom evaluation considering multiple organ-systems yet with minimal time delay. Such integration of imaging with clinical assessment and treatment is called Point-of-Care Ultrasound (POCUS) and should be understood as an extension of the physical examination. POCUS offers a unique but crucial role, integrating clinical and other imaging findings, including cardiac ultrasound (echocardiography), chest radiography, and computed tomography (CT) scans is crucial, which alone may lack the required accuracy.The emergence of differences in approach to lung sonography, technique and nomenclature, provided the AbstractThe science of lung ultrasound has grown tremendously over the last two decades and lung ultrasound has not only entered the mainstream of point of care ultrasound but has become a dominant topic. Understanding lung ultrasound signs and artifacts is critical to being able to correlate findings with actual pathology and normal anatomy and physiology. Investigators have described multiple lung ultrasound artifacts and findings and it is important to understand both the physics and anatomic basis behind them. Additionally, ultrasound machine use and transducer selection can significantly affect results obtained on patient during an examination and the provider must carefully choose the correct settings. This manuscript describes the state of the art in ultrasound artifact recognition and correlation as well as management of ultrasound technology to optimize diagnostic success.Keywords: ultrasound, lung, artifacts, pathology, guidelines [2,[11][12][13][14][15] we discuss the prominent role of the particular artefacts of lung sonography answering differential-diagnostic questions in patients with cardio-pulmonary diseases. Lung artefacts

show abstract

“…Dyspnea severity was also serially determined by a 5‐point Likert scale at the of each lung sonographic examinations. Measures on this ordinal scale have previously been shown to correlate with B‐line severity …”

Section: Methodsmentioning

confidence: 99%

Serial Sonographic Assessment of Pulmonary Edema in Patients With Hypertensive Acute Heart Failure

Martindale

Secko

Kilpatrick

et al. 2017

J of Ultrasound Medicine

View full text Add to dashboard Cite

show abstract

The five-point Likert scale for dyspnea can properly assess the degree of pulmonary congestion and predict adverse events in heart failure outpatients

Cited by 24 publications

References 24 publications

Innovative Informatics Approaches for Peripheral Artery Disease: Current State and Provider Survey of Strategies for Improving Guideline-Based Care

Innovative Informatics Approaches for Peripheral Artery Disease: Current State and Provider Survey of Strategies for Improving Guideline-Based Care

Lung artefacts and their use

Serial Sonographic Assessment of Pulmonary Edema in Patients With Hypertensive Acute Heart Failure

Contact Info

Product

Resources

About