Geriatric dyspnea: Doing worse, feeling better

Petersen, Sibylle; Leupoldt, Andreas von; Bergh, Omer Van den

doi:10.1016/j.arr.2014.03.001

Cited by 24 publications

(47 citation statements)

References 75 publications

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“…On the other hand, a high number of individuals with severe pathology does not report symptoms and does not seek medical help. This can have serious consequences, for example (among other), in the case of stroke (e.g., Lacy et al, 2001 ), pain (e.g., Yong et al, 2001 ; Gagliese, 2009 ), or respiratory disease (e.g., Petersen et al, 2014a ).…”

Section: Introductionmentioning

confidence: 99%

Interoception and the uneasiness of the mind: affect as perceptual style

2015

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Autonomous system models of interoception describe perception of bodily sensations as an active process in which the brain generates and tests hypotheses about the body on the basis of proximal information. This view of perception as inference allows a new perspective on the role of affect in perception. Affect and interoception are closely linked, but processes underlying this link are poorly understood. We suggest that a predictive coding perspective allows acknowledging affect as integral part of information processing. We outline how affect may intrinsically modify processes of interoception by acting as threshold mechanism in stimulus grouping and information compression. We outline how well-established methods, for example, from categorization research may allow quantifying this influence of affect on perception in empirical tests of predictive coding models. We discuss how this may enrich the study of the relationship between affect and interoception and may have important clinical relevance.

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Section: Introductionmentioning

confidence: 99%

Interoception and the uneasiness of the mind: affect as perceptual style

2015

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“…Emergency department diagnostic uncertainty in dyspnea is likely multifactorial with patient, physician, and diagnostic factors. In older adults, diagnosis is complicated by atypical presentations, decreased sensation of dyspnea, multiple comorbidities, failure of clinical prediction rules, and decreased biomarker accuracy . As a result, diagnosing the etiology of dyspnea is challenging for emergency physicians .…”

Section: Weighted Demographic Characteristics and Comorbidities Of VImentioning

confidence: 99%

High Diagnostic Uncertainty and Inaccuracy in Adult Emergency Department Patients With Dyspnea: A National Database Analysis

Hunold

Caterino

2018

Academic Emergency Medicine

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“…In addition, evaluation of dyspnea is done through a simple measurement that is easy to perform, such that dyspnea is easily identifiable. 8…”

Section: Introductionmentioning

confidence: 99%

Dyspnea is associated with poor physical performance among community-dwelling older adults: a population-based cross-sectional study

et al. 2020

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BACKGROUND: Dyspnea and poorer physical performance are conditions that may be related and be present among the elderly. However, few studies have evaluated associations between these variables. OBJECTIVE: To determine whether there is an association between dyspnea and physical performance among community-dwelling older adults of both sexes (age 60 years and over). DESIGN AND SETTING: Cross-sectional study conducted in the city of Macapá, state of Amapá, Brazil. METHODS: Socioeconomic and health data were collected using a structured form. Frailty syndrome was assessed based on the frailty phenotype proposed by Fried et al. Dyspnea was measured using the modified Medical Research Council (mMRC) scale and physical performance was measured using the Short Physical Performance Battery (SPPB). Data were analyzed using a linear regression model. RESULTS: A total of 411 subjects (70.15 ± 7.25 years) were evaluated, most of them females (66.4%). It was observed from the mMRC scale that 30.9% (n = 127) of the subjects had some dyspnea symptoms: grade 1 was most frequent. The physical performance score from the SPPB was 9.22 ± 2.01. Higher dyspnea scores were associated with poor physical performance, both in the crude analysis (β =-0.233; P = 0.028) and after adjustment for frailty condition (β =-0.148; P = 0.002) and for the socioeconomic and health variables (age, sex, number of diseases, smoking habit and frailty status) (β =-0.111; P = 0.025). CONCLUSION: Higher dyspnea score was independently associated with poor physical performance among community-dwelling older adults. Dyspnea is associated with poor physical performance among community-dwelling older adults: a population-based cross-sectional study | ORIGINAL ARTICLE

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Geriatric dyspnea: Doing worse, feeling better

Cited by 24 publications

References 75 publications

Interoception and the uneasiness of the mind: affect as perceptual style

Interoception and the uneasiness of the mind: affect as perceptual style

High Diagnostic Uncertainty and Inaccuracy in Adult Emergency Department Patients With Dyspnea: A National Database Analysis

Dyspnea is associated with poor physical performance among community-dwelling older adults: a population-based cross-sectional study

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