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| 2. |
- Neuman, Åsa, et al.
(författare)
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Dyspnea in relation to symptoms of anxiety and depression : A prospective population study
- 2006
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Ingår i: Respiratory Medicine. - : Elsevier BV. - 0954-6111 .- 1532-3064. ; 100:10, s. 1843-1849
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Tidskriftsartikel (refereegranskat)abstract
- Background: Respiratory symptoms are related to anxiety and depression in several cross-sectional studies but the association has not been explored in longitudinal studies. Study objectives: To prospectively study the change in dyspnea in relation to symptoms of anxiety and depression over a 9-year time period. Methods: The study comprised of 515 adults from a population sample who had participated in the European Commission Respiratory Health Survey (ECRHS) I in 1991-1992 and in the ECRHS II in 1999-2000. The questionnaire included a modified British Medical Research Council Scale for dyspnea grading and the Hospital Anxiety and Depression scale questionnaire. Results: The prevalence of dyspnea was 10.7% in the first and 12.6% in the second survey. Symptoms of depression was an independent determinants for dyspnea in both surveys (OR (95% CI) 3.72 (1.51-9.17) and 3.40 (1.49-7.80), respectively). In subjects that did not have dyspnea at the first survey onset of symptoms of anxiety (OR 3.53 (1.03-12.1)) and depression (OR 12.2 (3.97-37.5)) were significantly related to having dyspnea at the second survey, whereas onset of dyspnea was not significantly associated with developing symptoms of anxiety or depression when each disorder was entered separately. Conclusion: Our data indicates that there is a causal relationship between development of symptoms of anxiety and depression and dyspnea. Psychological status is therefore an important factor to consider both when evaluating the results of epidemiological respiratory studies and in clinical settings when treating patients that have dyspnea.
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| 3. |
- Engström, Carl-Peter, 1945, et al.
(författare)
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KOL och livskvalitet
- 2006
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Ingår i: In: KOL Kroniskt obstruktiv lungsjukdom. Larsson K, ed.. ; Kapitel 3.4, s. 145-151
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Tidskriftsartikel (refereegranskat)
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| 4. |
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| 5. |
- Marklund, B, et al.
(författare)
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Prevalence of unknown asthma and COPD in people with persistent or recurrent cough
- 2006
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Ingår i: Practice Nursing. - 0964-9271. ; 17:4, s. 197-200
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Tidskriftsartikel (refereegranskat)abstract
- Coughing is the most common symptom in people attending primary health care. Because the prevalence of asthma and chronic obstructive pulmonary disease (COPD) is not well known, the aim of this study was to establish the prevalence of unknown asthma and COPD in people consulting for a persistent or recurrent cough in primary health care in Sweden. Seventy-two adult patients were recruited consecutively at an acute consultation with a medical history of a persistent or recurrent cough. A medical history and a physical examination were performed according to a standardized form. Four patients (6%) fulfilled the criteria for asthma and five (7%) for COPD. The prevalence of asthma in this sample was less than that in western countries generally. These findings highlight the importance of people, especially women and smokers, with persistent or recurrent cough being carefully and promptly assessed with standardized measures including spirometry and repeated peak expiratory flow measurements. This knowledge should he conveyed to the general public as well as to primary health professionals.
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| 6. |
- Stridsman, Caroline, et al.
(författare)
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The Swedish National Airway Register (SNAR): development, design and utility to date
- 2020
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Ingår i: European Clinical Respiratory Journal. - : Informa UK Limited. - 2001-8525. ; 7:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Swedish National Airway Register (SNAR) was initiated in 2013 to ensure and improve the quality of care for patients with asthma and COPD. Aim: To describe the development and design of SNAR, and to study the 2019 data to evaluate its potential utility related to improvement of quality of care. Methods: SNAR includes data from patients with asthma (both children and adults) and COPD from primary, secondary and tertiary care, and also, for COPD inpatient care. Data on diagnostic investigations (e.g. spirometry, blood sample, skin prick test), symptom-scores, comorbidities and prescribed treatments are registered. The registrations are entered manually by healthcare professionals, or directly transferred from electronic medical records to a web-based platform. Results: In 2019, 1000 clinics participated and data were directly transferred by about 88% of them. The register included data on 205,833 patients with asthma and 80,372 with COPD (of these, 5% had both diagnoses). Registrations of new patients and follow-up visits from primary and secondary/tertiary care in 2019 were completed for 75,707 patients with asthma (11,818 children <12 yr, 6545 adolescents 12-17 yr, and 57,344 adults >17 yr) and 38,117 with COPD. Depending on age and disease group, 43-77% had performed spirometry, 36-65% Asthma Control Test, and 60% COPD Assessment Test. The prevalence of current smoking was about 2% in adolescents, 10% in adults with asthma, and 34% in COPD. For these, smoking cessation support was offered to 27%, 38% and 51%, respectively. Overall, limited data were available on investigation of allergy, 6-min walk test, patient education and written treatment plans. Regarding asthma, sex-differences in disease management were evident. Conclusion: SNAR has cumulatively registered data from over 270,000 individuals, and the register is important for patients, caregivers, authorities, politicians and researchers to evaluate the effect of treatment and to ensure high and equal quality of care nationwide.
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| 7. |
- Torén, Kjell, 1952, et al.
(författare)
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Self-reported asthma was biased in relation to disease severity while reported year of asthma onset was accurate
- 2006
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Ingår i: J Clin Epidemiol.. ; 59:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND OBJECTIVES: The aims of the study were to assess the accuracy of self-reported asthma and notified year of asthma onset. METHODS: The study was performed on a sample of 365 subjects, 18-60 years old, with clinically diagnosed onset of asthma between 1983 and 1986. All subjects were investigated 10 years later, in 1996, with a respiratory questionnaire about the items of asthma and year of onset. The material was analyzed with logistic regression models. RESULTS: Of the 289 subjects who returned the questionnaire, asthma was reconfirmed in 251 subjects. In a logistic regression model, asthma severity was significantly associated with confirmation of asthma. The median difference between the "true" year of onset and the reported year 10 years later, the recall period was zero, with a 10th to 90th interpercentile range of -2 to 6 years. The recall period was not associated with asthma severity, bronchial hyperresponsiveness, smoking, atopy, or sex. CONCLUSION: Self-reported asthma is biased in relation to disease severity, meaning that subjects with mild disease were less prone to report their asthma. Reported year of asthma onset among adults seems to be rather accurate, with no obvious dependent misclassifications.
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