Fifteen‐count breathlessness score: An objective measure for children

Prasad, S. Ammani; Randall, Simon D.; Balfour‐Lynn, Ian M.

doi:10.1002/1099-0496(200007)30:1<56::aid-ppul9>3.3.co;2-i

Cited by 9 publications

(30 citation statements)

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“…The number of breaths that the subject requires to reach a count of 15 is the score. It has been validated for use in children with CF [124] but not in bronchiectasis. Two of the reviewed studies by PATTERSON and co-workers used this tool as an outcome measure [56,57].…”

Section: -Count Breathlessness Scorementioning

confidence: 99%

Measuring airway clearance outcomes in bronchiectasis: a review

et al. 2020

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While airway clearance techniques (ACTs) are recommended for individuals with bronchiectasis, many trials have demonstrated inconsistent benefits or failed to reach their primary outcome. This review determined the most common clinical and patient-reported outcome measures used to evaluate the efficacy of ACTs in bronchiectasis. A literature search of five databases using relevant keywords and filtering for studies published in English, up until the end of August 2019, was completed. Studies included randomised controlled trials, using crossover or any other trial design, and abstracts. Studies were included where the control was placebo, no intervention, standard care, usual care or an active comparator. Adults with bronchiectasis not related to cystic fibrosis were included. Extracted data comprised study authors, design, duration, intervention, outcome measures and results. The search identified 27 published studies and one abstract. The most common clinical outcome measures were sputum volume (n=23), lung function (n=17) and pulse oximetry (n=9). The most common patient-reported outcomes were health-related quality of life (measured with St George's Respiratory Questionnaire, n=4), cough-related quality of life (measured with Leicester Cough Questionnaire, n=4) and dyspnoea (measured with Borg/modified Borg scale, n=8). Sputum volume, lung function, dyspnoea and health- and cough-related quality of life appear to be the most common clinical and patient-reported measures of airway clearance treatment efficacy.

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Section: -Count Breathlessness Scorementioning

confidence: 99%

Measuring airway clearance outcomes in bronchiectasis: a review

et al. 2020

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“…The feeling of tiredness is considered a subjective response that can be influenced by several factors such as the clarity of instructions and the cognitive capacity of the individual 48 . According to Prasad, the use of subjective assessments in children requires them to know the meaning of "out of breath" 49 . Homerding, believes that the modified Borg scale is adequate from the age of 9 years and suggests that the greater the child's functional impairment, the greater the respiratory discomfort and the easier the understanding of perceived exertion 48 .…”

Section: Discussionmentioning

confidence: 99%

Virtual System can be considered interchangeable with shuttle run in healthy children: a cross-sectional study

Moran¹,

Sd²,

Mt³

et al. 2019

Preprint

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Background Previous studies have evaluated the physiological responses to video game in children with different clinical conditions, however, although no study has compared video game active with an incremental field test in healthy children. The purpose of this study was to compare the maximum heart rate (HRmax) of children, their perceived exertion and motivation during the shuttle run test (SRT) and the Virtual Systems (VS) test, an interactive video game.Methods This is a cross-sectional study of 235 children (9.0 ± 0.8 years, 109 boys). The two tests were performed one week apart and the children were instructed not to engage in any physical exercise or sports in the 24 hours preceding each test. Their heart rate was monitored at rest for one minute and then throughout the tests. To evaluate the influence of motivation on test execution (SRT and VS), at the end of the tests the children were asked to rate their motivation based on a scale from zero to 10, zero being “not cool” and 10 “awesome”. Perceived exertion at the end of the tests was assessed using the modified Borg scale.Results HRmax did not differ between the SRT and VS (194.4 ± 10.2 bpm vs. 193.2 ± 13.8 bpm, respectively). Both tests were similar in intensity > and < 96% HRmax. The children showed greater exertion on the Borg scale and motivation during the VS. The multiple logistic regression model showed that motivation (p=0.98), sex (p=0.53), age (p=0.61), nutritional status (p=0.65), and speed (p=0.18) were not predictive factors of whether the child would reach HRmax.Conclusion The VS can be used as a tool to evaluate the intensity of maximal exercise tests given that the percentage of children who achieved HRmax did not differ between the VS and SRT. The perceived exertion scales were correlated, but only the modified Borg scale correlated with HRmax in the SRT. The tests are motivational, and most children obtained the maximum score in the VS

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“…The 15-count breathlessness score is based on the subjects' taking a deep breath and then counting out loud to 15; the number of breaths taken to complete the count is the score. This objective evaluation of breathlessness was validated in children as young as 7 years old and it is easy to perform, regardless of their mother tongue, provided that the child is able to count fluently (43). The "how-much-puff score" uses the same principle as the above method.…”

Section: Scales In Use For the Assessment Of Perception Of Dyspnea Inmentioning

confidence: 99%

Perception of dyspnea in children with asthma

Douros

Boutopoulou²,

Papadopoulos³

et al. 2015

Front Biosci

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The subjective experience of discomfort in breathing, termed dyspnea (or breathlessness), is a symptom with multifactorial causes of highly complex and largely undefined psycho-physiologic mechanism(s). There are at least three discrete qualities of dyspnea likely corresponding to different types of respiratory stress and separate underlying mechanisms. Perception of dyspnea can be measured by diverse means; however, none of these scales has been standardized in children. In general, the same degree of bronchoconstriction causes various levels of perception of dyspnea in different patients. There are large discrepancies among patients in subjective rating of the severity of dyspnea and objective measurement of lung function. Since reporting symptoms is an integral part of therapeutic management of asthma, poor perception of dyspnea may lead to delayed diagnosis and undertreatment of the disease.

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Fifteen‐count breathlessness score: An objective measure for children

Cited by 9 publications

References 0 publications

Measuring airway clearance outcomes in bronchiectasis: a review

Measuring airway clearance outcomes in bronchiectasis: a review

Virtual System can be considered interchangeable with shuttle run in healthy children: a cross-sectional study

Perception of dyspnea in children with asthma

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