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- W2018010478 abstract "•Understand the prevalence of dyspnea in older adults.•Understand the correlates and outcomes of dyspnea in older adults. Compared to pain, we know little about dyspnea, one of the most distressing symptoms in older adults. To ascertain the prevalence, correlates, and longitudinal outcomes of dyspnea. We used the longitudinal Health and Retirement Study, a nationally representative survey of adults over the age of 50. Survey and peak flow assessments were conducted in person. We ascertained dyspnea using the 2006 question “how often do you become short of breath while awake?” We considered responses of “often” or “sometimes” to represent a level of dyspnea sufficient to warrant clinical attention (“rarely” or “never” = no dypsnea). We created a multivariable Cox Proportional Hazards model to report the risk of new or worsened disability in any of 6 activities of daily living and death over a four year time period (through 2010). Of the 7,315 subjects (mean age 67), 1,610 (22%) experienced dyspnea (5% often, 18% sometimes). Subjects with dyspnea were more likely to be female, have ever smoked, less than high school education, lower net worth, obesity, chronic lung disease, heart disease, depression, or cancer than subjects without dyspnea (all p<0.001). Eleven percent of subjects in the highest quartile of peak flow reported dyspnea; 22% of subjects in the lowest quartile did not. In multivariable Cox models adjusted for age, gender, race/ethnicity, education, and net worth, dyspnea was predictive of new/worsened disability (adjusted HR 1.43, 95% CI 1.22-1.67) and death (adjusted HR 1.59, 95% CI 1.28-1.96). Over one in five older adults in the US experiences dyspnea. Older adults with dyspnea are about 50% more likely to develop new or worsened disability or die during the next 4 years." @default.
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- W2018010478 date "2015-02-01" @default.
- W2018010478 modified "2023-09-30" @default.
- W2018010478 title "Dyspnea in Older Adults: Epidemiology and Outcomes (S792)" @default.
- W2018010478 doi "https://doi.org/10.1016/j.jpainsymman.2014.11.271" @default.
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