Perception of Asthma Symptoms as Assessed on the Visual Analog Scale in Subjects With Asthma: A Real-Life Study.

BACKGROUND: The perception of symptoms is a cornerstone in asthma management, but studies concerning this aspect provide conflicting evidence. The visual analog scale has been proposed as a useful tool for assessing perception of respiratory symptoms. The present study investigated whether visual an...

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Publicado en:Respiratory Care Vol. 61; no. 1; pp. 23 - 30
Autores principales: Ciprandi, Giorgio, Schiavetti, Irene, Sorbello, Valentina, Ricciardolo, Fabio L. M.
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Mary Ann Liebert, Inc.
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        10.4187/respcare.04171
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        atl: Perception of Asthma Symptoms as Assessed on the Visual Analog Scale in Subjects With Asthma: A Real-Life Study.
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          Ciprandi, Giorgio
          Schiavetti, Irene
          Sorbello, Valentina
          Ricciardolo, Fabio L. M.
        affil: Department of Medicine, IRCCS-Azienda Ospedaliera Universitaria San Martino, Genoa, Italy
      sug:
        subj:
          Asthma Symptoms
          Visual Analog Scaling
          Instrument Validation
          Cross Sectional Studies
          Human
          Male
          Female
          Adult
          Middle Age
          Spirometry
          Descriptive Statistics
          Data Analysis Software
          Rhinitis Diagnosis
          Correlation Coefficient
          Fisher's Exact Test
          Mann-Whitney U Test
          Logistic Regression
          Chi Square Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: BACKGROUND: The perception of symptoms is a cornerstone in asthma management, but studies concerning this aspect provide conflicting evidence. The visual analog scale has been proposed as a useful tool for assessing perception of respiratory symptoms. The present study investigated whether visual analog scale assessment of perception of asthma symptoms was correlated to lung function or clinical features. METHODS: This cross-sectional study enrolled 388 subjects with asthma (159 males; mean age 39.7 y). Perception of asthma symptoms was assessed by the visual analog scale; lung function was measured by spirometry. Asthma control was evaluated by the asthma control test. Anxiety and depression were evaluated on the Hospital Anxiety and Depression Scale questionnaire. RESULTS: Asthma was well controlled in 46.6% of subjects. Asthma symptoms in the prior month were reported by 59% of subjects; asthma signs were detected in 7.2%. The visual analog scale score was moderately correlated to FEV1 (r = 0.43). Subjects with bronchial obstruction had lower visual analog scale values than those without (P < .001). A visual analog scale score of 6 was a reliable cutoff point to discriminate subjects with bronchial obstruction (area under the curve = 0.71 at receiver operating characteristic curve; odds ratio [OR] = 7.58). Reported asthma symptoms (OR = 4.83), asthma signs (OR = 8.36), and anxiety (OR = 1.14) were predictive of a visual analog scale score of <6. CONCLUSIONS: This real-life study found that assessment of asthma symptoms by the visual analog scale might be a reliable tool in managing patients with asthma.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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