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Correlación entre escalas clínicas para evaluar la disnea en pacientes con enfermedad pulmonar obstructiva crónica en alta altitud.

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Title: Correlación entre escalas clínicas para evaluar la disnea en pacientes con enfermedad pulmonar obstructiva crónica en alta altitud.
Alternate Title: Correlation between clinical scales for assessing dyspnea in patients with chronic obstructive pulmonary disease at high altitude.
Authors: Forero Gómez, Yeniffer L.1,2, Tuta Quintero, Eduardo2, Chaves Pauwels, Laura2, Martínez Sáenz, Paola2, Batidas Goyes, Alirio R.2 alirio.bastidas@unisabana.edu.co
Source: Medicina Interna de México. Sep2025, Vol. 41 Issue 9, p543-547. 5p.
Subjects: CHRONIC obstructive pulmonary disease, VISUAL analog scale, MEDICAL research, ASTHMA, DYSPNEA
Abstract (English): OBJECTIVE: To determine the correlation between different scales used to assess dyspnea in patients with chronic obstructive pulmonary disease and asthma. MATERIALS AND METHODS: A cross-sectional study was conducted in patients with chronic obstructive pulmonary disease and asthma who had been hospitalized, at least, once due to an exacerbation, at a medical center located at high altitude from January to December 2024. The Visual Analog Dyspnea Scale (VADS), Modified Medical Research Council (mMRC), the Numerical Rating Scale (NRS), and the Borg scale were applied. RESULTS: A total of 200 patients were included, of whom 50% had chronic obstructive pulmonary disease and 50% had asthma. The mean age of the participants was 54.1 ± 19.1 years and 47.5% were men. The scales that showed the strongest correlations were the NRS and VADS scales with 0.73 (95% CI: 0.65-0.78; p < 0.001), the Borg scale and mMRC with a correlation of 0.71 (95% CI: 0.62-0.76; p < 0.001), and the Borg scale and VADS with a correlation of 0.70 (95% CI: 0.62-0.76; p < 0.001). CONCLUSION: The NRS and VADS scales, the Borg scale and mMRC, as well as the Borg scale and VADS showed a strong correlation. The results of this study suggest that the mMRC, VADS and Borg scales are interchangeable, supporting the possibility of using different dyspnea assessment tools equivalently. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): OBJETIVO: Determinar la correlación entre las diferentes escalas para evaluar la disnea en pacientes con enfermedad pulmonar obstructiva crónica y asma. MATERIALES Y MÉTODOS: Estudio transversal efectuado en pacientes con enfermedad pulmonar obstructiva crónica y asma que habían sido hospitalizados, al menos, una vez por una exacerbación, en un centro médico ubicado a gran altitud entre enero y diciembre de 2024. Se les aplicaron la Escala Visual Analógica para la Disnea (EVAD), Modified Medical Research Council (mMRC), la Escala de Calificación Numérica (NRS) y la escala de Borg. RESULTADOS: Se incluyeron 200 pacientes, de los que el 50% tenía enfermedad pulmonar obstructiva crónica y el 50% asma. La edad media de los participantes fue de 54.1 ± 19.1 años y el 47.5% eran hombres. Las escalas que mostraron las mejores correlaciones fueron: NRS y EVAD con 0.73 (IC95%: 0.65-0.78; p < 0.001), Borg y mMRC con 0.71 (IC95%: 0.62-0.76; p < 0.001) y Borg y EVAD de 0.70 (IC95%: 0.62-0.76; p < 0.001). CONCLUSIÓN: Las escalas NRS y EVAD, Borg y mMRC y Borg y EVAD mostraron una fuerte correlación. Los resultados de este estudio sugieren que las escalas mMRC, EVAD y de Borg son intercambiables, lo que respalda la posibilidad de utilizar distintos métodos de evaluación de la disnea de manera equivalente. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:OBJECTIVE: To determine the correlation between different scales used to assess dyspnea in patients with chronic obstructive pulmonary disease and asthma. MATERIALS AND METHODS: A cross-sectional study was conducted in patients with chronic obstructive pulmonary disease and asthma who had been hospitalized, at least, once due to an exacerbation, at a medical center located at high altitude from January to December 2024. The Visual Analog Dyspnea Scale (VADS), Modified Medical Research Council (mMRC), the Numerical Rating Scale (NRS), and the Borg scale were applied. RESULTS: A total of 200 patients were included, of whom 50% had chronic obstructive pulmonary disease and 50% had asthma. The mean age of the participants was 54.1 ± 19.1 years and 47.5% were men. The scales that showed the strongest correlations were the NRS and VADS scales with 0.73 (95% CI: 0.65-0.78; p < 0.001), the Borg scale and mMRC with a correlation of 0.71 (95% CI: 0.62-0.76; p < 0.001), and the Borg scale and VADS with a correlation of 0.70 (95% CI: 0.62-0.76; p < 0.001). CONCLUSION: The NRS and VADS scales, the Borg scale and mMRC, as well as the Borg scale and VADS showed a strong correlation. The results of this study suggest that the mMRC, VADS and Borg scales are interchangeable, supporting the possibility of using different dyspnea assessment tools equivalently. [ABSTRACT FROM AUTHOR]
ISSN:01864866
DOI:10.24245/mim.v41i9.10471