Universität zu Köln

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:	Creators Email ORCID ORCID Put Code Simon, S. T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Altfelder, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Alt-Epping, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bausewein, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weingaertner, V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Voltz, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ostgathe, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Radbruch, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lindena, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nauck, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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:	Keywords Language CELL LUNG-CANCER; OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; SYMPTOM BURDEN; DYSPNEA; PREVALENCE; MORTALITY; VALIDATION; PEOPLE; DRUGS Multiple languages Respiratory System Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/24716